Individual provider Active NPI

William Teubl, MD

  • Internal Medicine Physician
  • Tivoli, NY
National Provider Identifier
1548213846
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
162218 Issued in NY
Practice address
92 Nevis Rd
Tivoli, NY 12583
Phone
(845) 756-4077
Fax
(845) 206-0264
NPI assigned
May 18, 2006
Last updated
Jul 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 162218 NY Primary

Addresses

Primary practice location

92 Nevis Rd
Tivoli, NY 12583

Mailing address

92 Nevis Rd
Tivoli, NY 12583-5008
Phone (845) 756-4077

Other practice location 1

11 Crum Elbow Rd
Hyde Park, NY 12538-2852
Phone (845) 229-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20180829000357 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1456241405

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162218NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Hudson Family Health Institute Internal Medicine Past Accepting new patients
Wellspring Rhinebeck Internal Medicine PastSince Jul 28, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wellsspring_in_clermont@hiemail.healtheconnections.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1548213846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 NEVIS RD",
            "city": "TIVOLI",
            "state": "NY",
            "postal_code": "125835008",
            "telephone_number": "845-756-4077",
            "fax_number": "845-206-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 NEVIS RD",
            "city": "TIVOLI",
            "state": "NY",
            "postal_code": "12583",
            "telephone_number": "845-756-4077",
            "fax_number": "845-206-0264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Crum Elbow Rd",
            "address_purpose": "LOCATION",
            "city": "Hyde Park",
            "state": "NY",
            "postal_code": "125382852",
            "country_code": "US",
            "telephone_number": "845-229-1020",
            "fax_number": "845-255-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEUBL",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "162218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tivoli, NY

Sources for this page

Verify at the official NPI Registry.