Individual provider Active NPI

Arnold P Teo, M.D.

  • Urology Physician
  • Liverpool, NY
National Provider Identifier
1740429869
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
251259 Issued in NY
Practice address
100 Metropolitan Park Dr
Suite 100
Liverpool, NY 13088-5841
Phone
(315) 870-9370
Fax
(315) 558-6611
NPI assigned
Feb 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 251259 NY Primary

Addresses

Primary practice location

100 Metropolitan Park Dr
Suite 100
Liverpool, NY 13088-5841

Mailing address

1226 E Water St
Syracuse, NY 13210-1155
Phone (315) 478-4185

Other identifiers 1

IdentifierTypeStateIssuer
03094653MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090508000287 NY Practitioner - Urology 9830247493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Medical Professionals of Ny PLLCGroup PAC ID 0749378123, 57 clinicians

Practice addresses (Care Compare)

5700 W Genesee St
Suite 124
Camillus, NY 13031-3206
Phone (315) 478-4185

Hospital & facility affiliations

  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203
  • St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140
  • Guthrie Cortland Regional Medical Center Hospital, Cortland, NY, CCN 330175
  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251259NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Medical Professionals of Ny, PLLC Urology CurrentSince Mar 1, 2015 Accepting new patients
Associated Medical Professionals of Ny, PLLC Urology CurrentSince Mar 1, 2015 Accepting new patients

Locations

5700 W Genesee St
Ste 124
Camillus, NY 13031
Phone (315) 472-8841

100 Metropolitan Park Dr
Ste 100
Liverpool, NY 13088
Phone (315) 870-9370

5100 W Taft Rd
Ste 4J
Liverpool, NY 13088
Phone (315) 701-2170

357 Genesee St
Ste 1
Oneida, NY 13421
Phone (315) 363-8862

1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226

Interoperability endpoints

  • Direct secure messaging: ateo2386978@direct.trinity-health.org
  • Direct secure messaging: ateo@ampofny.medentdirect.com

Organizations & group practices 2

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 5

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": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1740429869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 E WATER ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101155",
            "telephone_number": "315-478-4185",
            "fax_number": "315-478-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 METROPOLITAN PARK DR",
            "address_2": "SUITE 100",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885841",
            "telephone_number": "315-870-9370",
            "fax_number": "315-558-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEO",
        "first_name": "ARNOLD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "251259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03094653",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.