NPIMap

Individual provider Active NPI

Teresa Leah Quebedeaux-Farnham, DPM

  • Podiatrist
  • Seguin, TX
National Provider Identifier
1649224791
Registry record updated Jun 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
TX1246 Issued in TX
Practice address
1345 E College St
Seguin, TX 78155-3962
Phone
(830) 303-0005
Fax
(830) 379-3348
NPI assigned
May 22, 2006
Last updated
Jun 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X TX1246 TX Primary

Addresses

Primary practice location

1345 E College St
Seguin, TX 78155-3962

Mailing address

1055 E Humphrey St
Seguin, TX 78155
Phone (830) 303-0005

Other identifiers 1

IdentifierTypeStateIssuer
123956801MedicaidTX

Other names 1

  • Dr. Terri L Quebedeaux Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050204000235 TX Practitioner - Podiatry 6507817772 Reassigns benefits to 1 organization
Practice locations: Seguin, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1345 E College St
Seguin, TX 78155-3962
Phone (830) 303-0005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.1 of 100Reported as individual
Quality
73.32
Improvement activities
20

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue121
Removal of skin lesions1-10
Removal of nail tissue495
Removal or shaving of skin growth182
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1246TXMDProfessional Counselor
TX1246TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Agave Podiatry, PLLC Podiatrist CurrentSince Jan 29, 2019 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Podiatry Associates of Victoria PA Podiatrist PastSince Apr 1, 1999 Accepting new patients
Kenneth R Hart DO PA Past Accepting new patients
Wound Treatment Centers of South Texas PA Past Accepting new patients

Locations

1345 E College St
Seguin, TX 78155
Phone (830) 303-0005

Interoperability endpoints

  • Direct secure messaging: tquebedeaux@quebedeaux.mdlogic.direct-ci.com

Organizations & group practices 5

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 6

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1649224791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 E HUMPHREY ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "78155",
            "telephone_number": "830-303-0005",
            "fax_number": "830-379-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E COLLEGE ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781553962",
            "telephone_number": "830-303-0005",
            "fax_number": "830-379-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEBEDEAUX-FARNHAM",
        "first_name": "TERESA",
        "middle_name": "LEAH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "TX1246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123956801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "QUEBEDEAUX",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.