Individual provider Active NPI

Richard Russell Teed Jr., M.D.

  • Vascular Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1396944831
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME118100 Issued in FL
Practice address
12700 Creekside LN Ste 301
Fort Myers, FL 33919-3356
Phone
(239) 343-3780
Fax
(239) 343-3781
NPI assigned
Jul 14, 2007
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0116019085 VA
Vascular Surgery Physician 2086S0129X ME118100 FL Primary

Addresses

Primary practice location

12700 Creekside LN Ste 301
Fort Myers, FL 33919-3356

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-3780

Other practice location 1

509 SE Riverside Dr
Ste 305
Stuart, FL 34994-2579
Phone (772) 286-5007

Other identifiers 1

IdentifierTypeStateIssuer
012728800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rteed681669@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141007000587 FL Practitioner - Vascular Surgery 7416177878 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nautilus Health Care Group LLCGroup PAC ID 5991604852, 51 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

380 Rinehart Rd
Lake Mary, FL 32746-2551
Phone (404) 767-5843

6201 Alliance LN
Suite 200
Fort Myers, FL 33912-7165
Phone (239) 343-7653

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116019085VAMDSurgery Physician
ME118100FLMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nautilus Health Care Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Lee Health System Inc CurrentSince Sep 1, 2025 Accepting new patients
Vascular Specialists of Central Florida Inc Vascular Surgery CurrentSince May 1, 2017 Accepting new patients
Nautilus Health Care Group LLC Surgery CurrentSince Apr 1, 2025 Accepting new patients
Lee Health System Inc CurrentSince Sep 1, 2025 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

2040 Oakley Seaver Dr
Ste 200
Clermont, FL 34711
Phone (352) 536-8788

2080 Oakley Seaver Dr
Ste 100
Clermont, FL 34711
Phone (352) 241-7585

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

305 Memorial Medical Pkwy
Ste 101
Daytona Beach, FL 32117
Phone (386) 231-3177

12700 Creekside Ln
Ste 301
Fort Myers, FL 33919
Phone (239) 343-3780

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

6201 Alliance Ln
Ste 200
Fort Myers, FL 33912
Phone (239) 343-1176

380 Rinehart Rd
Lake Mary, FL 32746
Phone (321) 842-0550

3110 Oakbridge Blvd E
Lakeland, FL 33803
Phone (863) 619-2102

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

8340 Collier Blvd
Ste 302
Naples, FL 34114
Phone (239) 348-4566

600 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-3850

10000 W Colonial Dr
Ocoee, FL 34761
Phone (321) 843-1378

7339 Stonerock Cir
Orlando, FL 32819
Phone (321) 842-7308

80 W Michigan St
Orlando, FL 32806
Phone (407) 648-4323

2912 17th St
Saint Cloud, FL 34769
Phone (407) 892-2388

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Interoperability endpoints

  • Direct secure messaging: richard.teed@arteryandvein.directbygreenway.com
  • Direct secure messaging: rteed681669@direct.leememorial.org

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1396944831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-3780",
            "fax_number": "239-343-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 CREEKSIDE LN STE 301",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193356",
            "telephone_number": "239-343-3780",
            "fax_number": "239-343-3781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 SE Riverside Dr",
            "address_2": "STE 305",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349942579",
            "country_code": "US",
            "telephone_number": "772-286-5007",
            "fax_number": "772-286-0018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEED",
        "first_name": "RICHARD",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-14",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0116019085",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME118100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012728800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rteed681669@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.