Individual provider Active NPI

Su Wooi Teoh, M.D.

  • Otolaryngology Physician
  • Greensboro, NC
National Provider Identifier
1619033164
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
200601952 Issued in NC
Practice address
3824 N Elm St Ste 201
Greensboro, NC 27455-2733
Phone
(336) 542-2015
Fax
(336) 542-2017
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 200601952 NC Primary

Addresses

Primary practice location

3824 N Elm St Ste 201
Greensboro, NC 27455-2733

Mailing address

6318 Poplar Forest Dr
Summerfield, NC 27358-9339
Phone (336) 392-0350

Other practice location 1

1132 N Church St
Suite 104
Greensboro, NC 27401-1039
Phone (336) 542-2015

Other identifiers 1

IdentifierTypeStateIssuer
5905933MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070904000241 NC Practitioner - Otolaryngology 4183717440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Southwestern Medical School at Dallas, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians

Practice addresses (Care Compare)

3824 N Elm St
Suite 201
Greensboro, NC 27455-2733
Phone (336) 542-2015

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200601952NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services Inc Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Oct 1, 2024 Accepting new patients

Locations

3824 N Elm St
Ste 201
Greensboro, NC 27455
Phone (336) 542-2015

1126 N Church St
Ste 201
Greensboro, NC 27401
Phone (336) 235-0866

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1107 S Main St
Reidsville, NC 27320
Phone (336) 348-6664

621 S Main St
Ste 205
Reidsville, NC 27320
Phone (336) 342-6880

Interoperability endpoints

  • Direct secure messaging: steoh4553@direct.conehealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1619033164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6318 POPLAR FOREST DR",
            "city": "SUMMERFIELD",
            "state": "NC",
            "postal_code": "273589339",
            "telephone_number": "336-392-0350",
            "fax_number": "336-542-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 N ELM ST STE 201",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274552733",
            "telephone_number": "336-542-2015",
            "fax_number": "336-542-2017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1132 N Church St",
            "address_2": "SUITE 104",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011039",
            "country_code": "US",
            "telephone_number": "336-542-2015",
            "fax_number": "336-542-2017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEOH",
        "first_name": "SU WOOI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "200601952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905933",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.