Active NPI
Raymond Teoh
- Pediatrics Physician
- Kyle, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P6929
- Practice address
- 4100 Everett Dr Ste 400
Kyle, TX 78640-6147 - Phone
- (512) 295-1333
- Fax
- (512) 406-7327
- NPI assigned
- Apr 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P6929 | TX | Primary |
Addresses
Primary practice location
4100 Everett Dr Ste 400
Kyle, TX 78640-6147
Mailing address
6210 E Highway 290
Austin, TX 78723-1142
Phone (512) 483-9596
Other practice location 1
1807 Slaughter Ln Ste 490
Austin, TX 78748-6237
Phone (512) 282-8967
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 316355203 | Medicaid | TX | |
| 316355202 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Regional Clinic, PA | Current | Accepting new patients | |
| Austin Regional Clinic, PA | Pediatrics | Current | Accepting new patients |
| Seton Hospitalist Service | Past | Accepting new patients |
Locations
4515 Seton Center Pkwy
Ste 215
Austin, TX 78759
Phone (512) 338-3802
6835 Austin Center Blvd
Austin, TX 78731
Phone (512) 231-5210
6210 E Highway 290
Austin, TX 78723
1807 W Slaughter Ln
Ste 490
Austin, TX 78748
Phone (512) 282-8967
151 Exchange Blvd
Ste 500
Hutto, TX 78634
Phone (512) 846-1244
4100 Everett
Ste 400
Kyle, TX 78640
Phone (512) 295-1333
940 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 244-9024
Interoperability endpoints
- rteoh20139@arcmd.direct-ci.com
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.
-
- Durable Medical Equipment & Medical Supplies
- Kyle, TX
- NPI 1235746413
-
- Internal Medicine Physician
- Austin, TX
- NPI 1013293679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1609192228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6210 E HIGHWAY 290",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787231142",
"telephone_number": "512-483-9596",
"fax_number": "512-406-6216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 EVERETT DR STE 400",
"city": "KYLE",
"state": "TX",
"postal_code": "786406147",
"telephone_number": "512-295-1333",
"fax_number": "512-406-7327"
}
],
"practiceLocations": [
{
"address_1": "1807 Slaughter Ln Ste 490",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787486237",
"country_code": "US",
"telephone_number": "512-282-8967",
"fax_number": "512-406-7351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEOH",
"first_name": "RAYMOND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-08",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P6929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "316355203",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "316355202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.