Individual provider Active NPI

Siew Koon Teoh, MD

  • Diagnostic Radiology Physician
  • Burlington, MA
National Provider Identifier
1740270057
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
58532 Issued in MA
Practice address
41 Mall Rd
Burlington, MA 01805-5502
Phone
(781) 744-8000
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 58532 MA
Diagnostic Radiology Physician 2085R0202X 58532 MA Primary

Addresses

Primary practice location

41 Mall Rd
Burlington, MA 01805-5502

Mailing address

PO Box 382328
Cambridge, MA 02238-2328
Phone (617) 661-1949

Other practice location 1

330 Mount Auburn St
Cambridge, MA 02138-5502
Phone (617) 499-5070

Other identifiers 3

IdentifierTypeStateIssuer
3111407MedicaidMA
058532OtherMATUFTS HEALTH PLAN
J13827OtherMABCBS MA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20041112000516 MA Practitioner - Diagnostic Radiology 6507835642 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, shared by 3 NPIs, 1,381 clinicians
Beverly Radiology Associates IncGroup PAC ID 0345241154, 37 clinicians

Practice addresses (Care Compare)

1 Essex Ctr Dr
Peabody, MA 01960-2901
Phone (978) 538-4000

29 Mall Rd
Burlington, MA 01805-0001

298 Washington St
Addison Gilbert
Gloucester, MA 01930-4832
Phone (978) 283-4000

41 Mall Rd
Burlington, MA 01805-0001

85 Herrick St
Beverly, MA 01915-1790
Phone (978) 927-6385

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58532MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts Institute of Technology CurrentSince Apr 15, 1998 Accepting new patients
Schatzki Associates Inc. Diagnostic Radiology CurrentSince Apr 15, 1998 Accepting new patients
Lahey Clinic, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Lahey Clinic, Inc CurrentSince Oct 1, 2023 Accepting new patients
Beverly Radiology Associates, Inc. Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
President & Fellows of Harvard College CurrentSince Jan 1, 2018 Accepting new patients
President and Fellows of Harvard College CurrentSince Jan 1, 2018 Accepting new patients
The General Hospital Corporation Past Accepting new patients

Locations

83 Herrick St
Beverly, MA 01915
Phone (978) 921-1900

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

55 Fruit St
#3
Boston, MA 02114
Phone (617) 724-6620

188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

1180 Beacon St
Brookline, MA 02446
Phone (617) 232-1486

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

330 Mount Auburn St
Cambridge, MA 02138
Phone (617) 499-5054

75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042

25 Carleton St
Cambridge, MA 02142
Phone (617) 253-0556

75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

10 Little Brook Rd
West Wareham, MA 02576

Organizations & group practices 9

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 3

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1740270057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382328",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "022382328",
            "telephone_number": "617-661-1949",
            "fax_number": "617-661-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018055502",
            "telephone_number": "781-744-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Mount Auburn St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021385502",
            "country_code": "US",
            "telephone_number": "617-499-5070",
            "fax_number": "617-499-5138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEOH",
        "first_name": "SIEW",
        "middle_name": "KOON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "MA",
            "license": "58532",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "58532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3111407",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "058532",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J13827",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.