Todd Alan Tegtmeier, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35077866 Issued in OH

Practice address

7502 State Rd
Suite 3310
Cincinnati, OH 45255-2596

Phone

(513) 624-1240

Fax

(513) 624-1290

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1669573630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7502 STATE RD",
            "address_2": "SUITE 3310",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552596",
            "telephone_number": "513-624-1240",
            "fax_number": "513-624-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 STATE RD",
            "address_2": "SUITE 3310",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552596",
            "telephone_number": "513-624-1240",
            "fax_number": "513-624-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGTMEIER",
        "first_name": "TODD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35077866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2496875",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00415970",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taryn Tegarden, RN
• Bethlehem Tegegne
• Kidist Abate Tegegne, APRN-CNP
• Kayley Tegenkamp
• Shane Tegenkamp, DC
• Kenneth Bren Tegtmeyer, MD
• Ryan Teierle
• Katharine Marie Teipen, LPC
• Io Marie Tejada Salgado
• Jose G Tejada-Rodriguez

• Family Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.

Verify at the official NPI Registry.