Individual provider Active NPI

Tewodros Woldemariam Teketel, M.D.

  • Internal Medicine Physician
  • Katy, TX
National Provider Identifier
1386070159
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q9058 Issued in TX
Practice address
25311 Kingsland Blvd Ste 190
Katy, TX 77494-7349
Phone
(832) 447-6454
NPI assigned
Sep 24, 2013
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X A128719 CA
Internal Medicine Physician 207R00000X Q9058 TX Primary
General Practice Physician 208D00000X Q9058 TX

Addresses

Primary practice location

25311 Kingsland Blvd Ste 190
Katy, TX 77494-7349

Mailing address

25311 Kingsland Blvd Ste 190
Katy, TX 77494-7349
Phone (832) 447-6454

Other practice location 1

31st Street
1411
Oakland, CA 94602
Phone (510) 437-4800

Other names 1

  • Dr. Tewodros W Teketel Other name

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
I20170109002747 TX Practitioner - Internal Medicine 6103045125 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imed Physician Network, Inc.Group PAC ID 6608103155, 45 clinicians

Practice addresses (Care Compare)

25311 Kingsland Blvd
Suite 190
Katy, TX 77494-7349
Phone (832) 447-6454

2700 W Pleasant Run Rd
Suite 340
Lancaster, TX 75146-1074
Phone (469) 284-0782

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
128719CAMDClinical Social Worker
A128719CAMDInternal Medicine Physician
Q9058TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care PLLC Internal Medicine CurrentSince Nov 8, 2016 Accepting new patients
Imed Physician Network, Inc. CurrentSince Jun 28, 2024 Accepting new patients
Dr Teddy PLLC Internal Medicine Current Accepting new patients
Excel Urgent Care PLLC CurrentSince Nov 8, 2016 Accepting new patients
Vpa of Texas PLLC CurrentSince Jan 5, 2025 Accepting new patients
Mercy-Teddy Health Care LLC General Practice Current Accepting new patients
Vpa of Texas PLLC Internal Medicine CurrentSince Jan 5, 2025 Accepting new patients
JM Research, PLLC CurrentSince Sep 1, 2017 Accepting new patients
General Care Health Management PastSince Sep 1, 2017 Accepting new patients

Locations

25402 Northwest Fwy
Ste 101
Cypress, TX 77429
Phone (281) 304-1100

19304 Katy Fwy
Ste 100
Houston, TX 77094
Phone (281) 304-1100

7118 Harrisburg Blvd
Unit A
Houston, TX 77011
Phone (713) 234-1518

7218 Harrisburg Blvd
Houston, TX 77011
Phone (713) 921-3900

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

25311 Kingsland Blvd
Ste 190
Katy, TX 77494
Phone (832) 447-6454

2700 W Pleasant Run Rd
Ste 340
Lancaster, TX 75146
Phone (469) 206-4515

6840 Highway 6
Ste A
Missouri City, TX 77459
Phone (281) 403-3660

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1386070159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25311 KINGSLAND BLVD STE 190",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947349",
            "telephone_number": "832-447-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25311 KINGSLAND BLVD STE 190",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947349",
            "telephone_number": "832-447-6454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31st Street",
            "address_2": "1411",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "94602",
            "country_code": "US",
            "telephone_number": "510-437-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEKETEL",
        "first_name": "TEWODROS",
        "middle_name": "WOLDEMARIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A128719",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q9058",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "Q9058",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEWODROS",
            "last_name": "TEKETEL",
            "middle_name": "W",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.