Individual provider Active NPI

Teague Dombeck, MD

  • Emergency Medicine Physician
  • Alexandria, MN
National Provider Identifier
1407815558
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
47497 Issued in MN
Practice address
111 17TH Ave E
Alexandria, MN 56308-5273
Phone
(320) 762-1511
NPI assigned
Mar 18, 2006
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
47497OtherMNMEDICAL LICENSE
096660600MedicaidMN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000029 MN Practitioner - Emergency Medicine 1153363130 Reassigns benefits to 7 organizations

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
Alomere HealthGroup PAC ID 9931690047, 123 clinicians

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

LicenseStateTypeSpecialty
47497MNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph's Area Health Services CurrentSince Apr 20, 2020 Accepting new patients
St. Joseph's Area Health Services Emergency Medicine Current Accepting new patients
Welia Health CurrentSince Jul 20, 2022 Accepting new patients
Douglas County Hospital Current Accepting new patients
Sanford Health Network North Current Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
Welia Health Current Accepting new patients
Alomere Health CurrentSince Jan 1, 2026 Accepting new patients
Lifecare Medical Center CurrentSince Aug 2, 2021 Accepting new patients
Lifecare Medical Center CurrentSince Aug 2, 2021 Accepting new patients
Emergency Physicians Professional Association CurrentSince Jul 1, 2016 Accepting new patients
Emergency Physicians Professional Association Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
West Central Pathology and Laboratory Medicine PA Current Accepting new patients
Welia Health CurrentSince Jul 20, 2022 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

  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 2

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": "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

Sources for this page

Verify at the official NPI Registry.