Individual provider Active NPI

J Teig Port, M.D.

  • Orthopaedic Surgery Physician
  • Sunnyvale, TX
National Provider Identifier
1376517284
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
K9393 Issued in TX
Practice address
2822 N Belt Line Rd Ste 200
Sunnyvale, TX 75182-9321
Phone
(972) 288-3331
Fax
(972) 288-3340
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X K9393 TX Primary

Addresses

Primary practice location

2822 N Belt Line Rd Ste 200
Sunnyvale, TX 75182-9321

Mailing address

2822 N Belt Line Rd Ste 200
Sunnyvale, TX 75182-9321
Phone (972) 288-3331

Other identifiers 2

IdentifierTypeStateIssuer
200041898OtherTXPALMETTO GBA
096417303MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050805000111 TX Practitioner - Orthopedic Surgery 8820086622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Stanford University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2822 N Belt Line Rd
Suite 200
Sunnyvale, TX 75182-9321
Phone (972) 288-3331

Hospital & facility affiliations

  • Home Health Professionals Dallas Home health agency, Dallas, TX, CCN 457812
  • Crescent Medical Center Lancaster Hospital, Lancaster, TX, CCN 670090
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

Merit-based Incentive Payment System (MIPS)

Final score
26.81 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
89.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K9393TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J. Teig Port, M.D., P.a. Orthopaedic Surgery CurrentSince Aug 1, 2002 Accepting new patients

Locations

1106 N Galloway Ave
Mesquite, TX 75149
Phone (972) 285-5426

2822 N Belt Line Rd
Ste 200
Sunnyvale, TX 75182
Phone (972) 216-5400

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1376517284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 N BELT LINE RD STE 200",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829321",
            "telephone_number": "972-288-3331",
            "fax_number": "972-288-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 N BELT LINE RD STE 200",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751829321",
            "telephone_number": "972-288-3331",
            "fax_number": "972-288-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORT",
        "first_name": "J",
        "middle_name": "TEIG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K9393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "200041898",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096417303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, TX

Sources for this page

Verify at the official NPI Registry.