Individual provider Active NPI

Teri Kleinberg, MD

  • Ophthalmology Physician
  • Worcester, MA
National Provider Identifier
1609187046
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD449437 Issued in PA
Practice address
25 Oak Ave
Worcester, MA 01605-2751
Phone
(508) 421-2010
Fax
(508) 798-6908
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 244388 MA
Ophthalmology Physician 207W00000X MD449437 PA Primary

Addresses

Primary practice location

25 Oak Ave
Worcester, MA 01605-2751

Mailing address

840 Walnut St
Wills Eye Hospital
Philadelphia, PA 19107-5109
Phone (215) 928-3060

Other practice location 1

840 Walnut St
Wills Eye Hospital
Philadelphia, PA 19107-5109
Phone (215) 928-3060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20150702000582 MA Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 3476785593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OphthalmologyAlso: Plastic and Reconstructive Surgery
Education
University of Massachusetts Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Worcester Ophthalmology Associates IncGroup PAC ID 6901844471, 6 clinicians

Practice addresses (Care Compare)

25 Oak Ave
Worcester, MA 01605-2751
Phone (508) 831-9555

Merit-based Incentive Payment System (MIPS)

Final score
92.48 of 100Reported as group
Quality
97.5
Improvement activities
40
Cost
78.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery407
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
244388MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Worcester Ophthalmology Associates, Inc Ophthalmology CurrentSince Aug 1, 2015 Accepting new patients

Locations

25 Oak Ave
Worcester, MA 01605
Phone (508) 421-2010

Interoperability endpoints

  • Direct secure messaging: terikleinberg@woadocs.direct.eyemdemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1609187046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST",
            "address_2": "WILLS EYE HOSPITAL",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OAK AVE",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016052751",
            "telephone_number": "508-421-2010",
            "fax_number": "508-798-6908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Walnut St",
            "address_2": "Wills Eye Hospital",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075109",
            "country_code": "US",
            "telephone_number": "215-928-3060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEINBERG",
        "first_name": "TERI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "244388",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD449437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.