Individual provider Active NPI

Raymundo J Teheng Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1689600017
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP114782 Issued in TX
Practice address
1313 Hermann Dr
Suite 270
Houston, TX 77004-7005
Phone
(281) 580-9030
Fax
(281) 580-2725
NPI assigned
Jun 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 675709 TX
Certified Registered Nurse Anesthetist 367500000X 209030064 IL
Certified Registered Nurse Anesthetist 367500000X AP114782 TX Primary

Addresses

Primary practice location

1313 Hermann Dr
Suite 270
Houston, TX 77004-7005

Mailing address

PO Box 73265
Houston, TX 77273-3265
Phone (281) 580-9030

Other practice location 1

6620 Main St
Houston, TX 77030-2348
Phone (713) 520-8432

Other practice location 2

3301 Broadway St
Quincy, IL 62301-3713
Phone (217) 277-6778

Other identifiers 1

IdentifierTypeStateIssuer
675709OtherTXREGISTERED NURSE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061012000594 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456357557 Reassigns benefits to 2 organizations
I20240920000063 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456357557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epix Medical Services of Houston PLLCGroup PAC ID 8527202167, 6 clinicians

Practice addresses (Care Compare)

6620 Main St
Suite 1500
Houston, TX 77030-2331
Phone (713) 520-8432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texans Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Epix Medical Services of Houston PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 17, 2014 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Sep 10, 2024 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince Sep 10, 2024 Accepting new patients

Locations

3301 Broadway St
Quincy, IL 62301
Phone (217) 277-4070

1025 Maine St
Quincy, IL 62301
Phone 21722265503163

9525 Katy Fwy
Ste 206
Houston, TX 77024
Phone (713) 400-2900

1313 Hermann Dr
Ste 270
Houston, TX 77004
Phone (281) 444-3681

6620 Main St
Houston, TX 77030
Phone (713) 520-8432

6620 Main St
Ste 1500
Houston, TX 77030
Phone (713) 520-8432

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

Interoperability endpoints

  • Direct secure messaging: rteheng1111400@direct.unitypoint.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1689600017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772733265",
            "telephone_number": "281-580-9030",
            "fax_number": "281-580-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 HERMANN DR",
            "address_2": "SUITE 270",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047005",
            "telephone_number": "281-580-9030",
            "fax_number": "281-580-2725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6620 Main St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302348",
            "country_code": "US",
            "telephone_number": "713-520-8432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3301 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623013713",
            "country_code": "US",
            "telephone_number": "217-277-6778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEHENG",
        "first_name": "RAYMUNDO",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "675709",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209030064",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP114782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSE",
            "identifier": "675709",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.