Active NPI
Teague Dombeck, MD
- Emergency Medicine Physician
- Alexandria, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 47497
- Practice address
- 111 17TH Ave E
Alexandria, MN 56308-5273 - Phone
- (320) 762-1511
- NPI assigned
- Mar 18, 2006
- Last updated
- Oct 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 47497 | MN | Primary |
Addresses
Primary practice location
111 17TH Ave E
Alexandria, MN 56308-5273
Mailing address
111 17TH Ave E
Alexandria, MN 56308-5273
Phone (320) 762-1511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47497 | Other | MN | MEDICAL LICENSE |
| 096660600 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Minnesota Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 17TH Ave E
Alexandria, MN 56308-5273
Phone (320) 762-1511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47497 | MN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph's Area Health Services | Current | Accepting new patients | |
| St. Joseph's Area Health Services | Emergency Medicine | Current | Accepting new patients |
| Welia Health | Current | Accepting new patients | |
| Douglas County Hospital | Current | Accepting new patients | |
| Sanford Health Network North | Current | Accepting new patients | |
| Alomere Health | Current | Accepting new patients | |
| Welia Health | Current | Accepting new patients | |
| Alomere Health | Current | Accepting new patients | |
| Lifecare Medical Center | Current | Accepting new patients | |
| Lifecare Medical Center | Current | Accepting new patients | |
| Emergency Physicians Professional Association | Current | Accepting new patients | |
| Emergency Physicians Professional Association | Emergency Medicine | Current | Accepting new patients |
| West Central Pathology and Laboratory Medicine PA | Current | Accepting new patients | |
| Welia Health | Current | Accepting new patients |
Locations
3314 Solutions Ctr
Chicago, IL 60677
111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511
201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000
701 Dellwood St S
Cambridge, MN 55008
Phone (763) 689-7700
4300 Marketpointe Dr
Ste 100
Minneapolis, MN 55435
Phone (952) 767-4574
7301 Ohms Ln
Ste 650
Minneapolis, MN 55439
1013 Hart Blvd
Monticello, MN 55362
Phone (763) 271-2303
301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317
100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261
600 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-3311
715 Delmore Dr
Roseau, MN 56751
Phone (218) 463-2500
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747
3001 Sanford Pkwy
Thief Rvr Fls, MN 56701
Phone (218) 681-4240
301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120
Interoperability endpoints
- tdombeck28978@direct.centracare.com
Organizations & group practices 14
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.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
-
dba Emergency Physicians, P.A.
- Emergency Medicine Physician
- Bloomington, MN
- NPI 1801871934
-
- Critical Access Hospital
- Roseau, MN
- NPI 1609861095
-
- Critical Access Hospital
- Park Rapids, MN
- NPI 1023086055
Emergency Medicine
-
- Critical Access Hospital
- Mora, MN
- NPI 1528031390
-
dba Heartland Orthopedic Specialists - Willmar
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1467318246
-
dba Alomere Health
- General Acute Care Hospital
- Alexandria, MN
- NPI 1164424305
-
dba The Urgency Room - Golden Valley
- Urgent Care Clinic/Center
- Golden Valley, MN
- NPI 1750188488
-
dba Lifecare Clinic Warroad
- Rural Health Clinic/Center
- Warroad, MN
- NPI 1619724077
-
dba Sanford Health Southeast Campus
- Multi-Specialty Clinic/Center
- Thief River Falls, MN
- NPI 1386047355
-
dba CHI St. Joseph's Health Clinic
- Clinic/Center
- Park Rapids, MN
- NPI 1013460864
-
- Rural Health Clinic/Center
- Hinckley, MN
- NPI 1073821468
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
-
- Critical Access Hospital
- Roseau, MN
- NPI 1609861095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1407815558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 17TH AVE E",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563085273",
"telephone_number": "320-762-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 17TH AVE E",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563085273",
"telephone_number": "320-762-1511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMBECK",
"first_name": "TEAGUE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-18",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "47497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "47497",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "096660600",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, MN
- Dustin Matthew Ditch, D.D.S, M.S
- Dockside Counseling PLLC
- Nicholas Doeling
- Karen Ann Doerfler
- Barbara L. Dolezal, D.C.
- Nicole Marie Dotson, N.D., L.AC.
- Douglas County Hospital (Alomere Health)
- Douglas County Hospital
- Douglas County Hospital (Heartland Orthopedic Specialists, a Service of Alomere Health)
- Douglas County Hospital (Alexandria Clinic, a service of Alomere Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.