NPIMap

Individual provider Active NPI

Charlotte Catharina Teneback, MD

  • Pulmonary Disease Physician
  • Burlington, VT
National Provider Identifier
1427110782
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
042-0011360 Issued in VT
Practice address
111 Colchester Ave
East Pavilion 5
Burlington, VT 05401-1473
Phone
(802) 863-8618
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RT1308 NH
Pulmonary Disease Physician 207RP1001X 042-0011360 VT Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0420011360 VT

Addresses

Primary practice location

111 Colchester Ave
East Pavilion 5
Burlington, VT 05401-1473

Mailing address

111 Colchester Ave
East Pavilion 5
Burlington, VT 05401-1473
Phone (802) 863-8618

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000671 VT Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 4082893508 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Medical University of South Carolina College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Vermont Medical Center IncGroup PAC ID 3779491071, 1,208 clinicians
Central Vermont Medical Center IncGroup PAC ID 9335138817, shared by 4 NPIs, 233 clinicians

Practice addresses (Care Compare)

1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

130 Fisher Rd
Barre, VT 05641-9004
Phone (802) 371-4235

Hospital & facility affiliations

  • Univ. of Vermont - Fletcher Allen Health Care Hospital, Burlington, VT, CCN 470003
  • Central Vermont Medical Center Hospital, Barre, VT, CCN 470001
  • Porter Hospital Inc Hospital, Middlebury, VT, CCN 471307
  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
  • Elizabethtown Community Hospital Hospital, Elizabethtown, NY, CCN 331302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RT1308NHMDInternal Medicine Physician
0420011360VTMDCritical Care Medicine (Internal Medicine) Physician
042-0011360VTMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vermont Medical Center Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients
University of Vermont Medical Center Inc Internal Medicine CurrentSince Dec 1, 2010 Accepting new patients
Central Vermont Medical Center Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients

Locations

130 Fisher Rd
Barre, VT 05641
Phone (802) 371-4235

130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

Interoperability endpoints

  • Direct secure messaging: cteneback9269@direct.uvmhealth.org

Organizations & group practices 3

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1427110782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "EAST PAVILION 5",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-863-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "EAST PAVILION 5",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-863-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENEBACK",
        "first_name": "CHARLOTTE",
        "middle_name": "CATHARINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "RT1308",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VT",
            "license": "042-0011360",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VT",
            "license": "0420011360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.