Individual provider Active NPI

Michael D Teague, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Maryville, TN
National Provider Identifier
1619922457
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
21749 Issued in TN
Practice address
907 E Lamar Alexander Parkway
Maryville, TN 37804-5012
Phone
(865) 981-2335
Fax
(865) 694-4339
NPI assigned
May 23, 2006
Last updated
Sep 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 21749 TN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 21749 TN Primary

Addresses

Primary practice location

907 E Lamar Alexander Parkway
Maryville, TN 37804-5012

Mailing address

PO Box 51883
Knoxville, TN 37950-1883
Phone (865) 766-8897

Other identifiers 1

IdentifierTypeStateIssuer
3826237MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20111201000414 TN Practitioner - Pathology 3971777947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Medical School at San Antonio, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blount Pathologist PLLCGroup PAC ID 1557337508, 3 clinicians

Practice addresses (Care Compare)

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (865) 981-2335

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
93.8
Improvement activities
40
Cost
79.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blount Pathologist PLLC Cytopathology CurrentSince Jan 1, 1999 Accepting new patients

Locations

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

Interoperability endpoints

  • Direct secure messaging: mteague872675@direct.ghs.myhfn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1619922457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51883",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379501883",
            "telephone_number": "865-766-8897",
            "fax_number": "865-766-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E LAMAR ALEXANDER PARKWAY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045012",
            "telephone_number": "865-981-2335",
            "fax_number": "865-694-4339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "TN",
            "license": "21749",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "21749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3826237",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.