Teisha M Kubala, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

0459 Issued in AZ

Practice address

8325 W Happy Valley Rd
Unit 105
Peoria, AZ 85383-4361

Phone

(602) 547-2111

Fax

(602) 547-0473

NPI assigned

Apr 26, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.39 of 100Reported as individual

Quality

84.77

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tkubala@tfp-az.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Thunderbird Footcare PLC

  • Podiatrist
  • Peoria, AZ
  • NPI 1740305523
  Medicare reassignment NPD

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1770540700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 W EUGIE AVE",
            "address_2": "SUITE 102",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041272",
            "telephone_number": "602-547-2111",
            "fax_number": "602-547-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 W HAPPY VALLEY RD",
            "address_2": "UNIT 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834361",
            "telephone_number": "602-547-2111",
            "fax_number": "602-547-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBALA",
        "first_name": "TEISHA",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "0459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45946301",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Daniel Krieger, D.C.,C.C.S.T.
• Ralph Elliott Krolik, PHARMACIST MD
• Laura Elisa Kroll, LMSW
• Ian Krutsinger, DC
• Kse Chiropractic Inc.
• Lisa Marie Kubik, DMD
• Nicholas Paul Kucinski, D.O.
• Ella Kuinova, FNP-C
• Kayli Marie Kullos
• Kulp Family Chiropractic LLC

• Podiatrist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Podiatrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.
• 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.