Individual provider Active NPI

Michael T. Teixido, M.D.

  • Specialist
  • Newark, DE
National Provider Identifier
1487695987
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C1-0003773 Issued in DE
Practice address
700 Prides Xing Ste 200
Newark, DE 19713-6109
Phone
(302) 998-0300
Fax
(302) 998-5111
NPI assigned
Jun 8, 2006
Last updated
Aug 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X C1-0003773 DE Primary

Addresses

Primary practice location

700 Prides Xing Ste 200
Newark, DE 19713-6109

Mailing address

700 Prides Xing Ste 200
Newark, DE 19713-6109
Phone (302) 998-0300

Other identifiers 2

IdentifierTypeStateIssuer
CN2339OtherDEPALMETTO GBA
0000431801MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20100714000136 DE Practitioner - Otolaryngology 8224928593 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Wake Forest University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy of Delaware LLCGroup PAC ID 2264613504, 42 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

1401 Foulk Rd
Suite 205
Wilmington, DE 19803-2764
Phone (302) 998-0300

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000

501 W 14TH St Wilmington Hospital
CCHS Surgery
Wilmington, DE 19801-1013
Phone (302) 623-3850

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc CurrentSince Nov 30, 2013 Accepting new patients
ENT and Allergy of Delaware LLC Specialist CurrentSince Jan 1, 2011 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Dec 31, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 30, 2013 Accepting new patients
Family ENT Physicians, P.a. PastSince Nov 16, 1995 Accepting new patients

Locations

4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

700 Prides Xing
Ste 200
Newark, DE 19713

1401 Foulk Rd
Ste 205
Wilmington, DE 19803

1941 Limestone Rd
Ste 210
Wilmington, DE 19808
Phone (302) 992-9617

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

Interoperability endpoints

  • Direct secure messaging: mteixido566@direct.nemours.org

Organizations & group practices 6

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 3

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597017600000",
    "number": "1487695987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PRIDES XING STE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197136109",
            "telephone_number": "302-998-0300",
            "fax_number": "302-998-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PRIDES XING STE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197136109",
            "telephone_number": "302-998-0300",
            "fax_number": "302-998-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEIXIDO",
        "first_name": "MICHAEL",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "C1-0003773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "CN2339",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000431801",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.