Irene Teper MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IRENE TEPER MD INC

Practice address

655 Redwood Hwy Frontage Rd Ste 375
Mill Valley, CA 94941-3041

Phone

(415) 212-8332

NPI assigned

Feb 22, 2023

Organization subpart

No

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

Authorized official

Name

Irene Teper, MDNPI 1073584520

Title

President

Phone

(415) 212-8332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irene Teper, M.D.

  • Internal Medicine Physician
  • Mill Valley, CA
  • NPI 1073584520
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1457059917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 375",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413041",
            "telephone_number": "415-212-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 375",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413041",
            "telephone_number": "415-212-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE TEPER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "TEPER",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-212-8332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Hunter, MA, AMFT
• Lisa Sharon Iacovelli, PT
• Michael Joseph Iacovelli, PT
• Jean Ihle, OTR/L
• Interwoven Clinical Services
• Irina L Melnik, MD Professional Corporation
• Amy Kathleen Iroz
• Julia Isen
• Karen Isenberg, CMT
• Christopher Ivanoff, DDS

• Internal Medicine Physician in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.