Active NPI
Michael Guy Teneriello, MD
- Gynecologic Oncology Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- K1694
- Practice address
- 6204 Balcones Dr
Austin, TX 78731-4214 - Phone
- (512) 302-1771
- Fax
- (512) 302-9774
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | K1694 | TX | Primary |
Addresses
Primary practice location
6204 Balcones Dr
Austin, TX 78731-4214
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125745303 | Medicaid | TX | |
| 125745302 | Medicaid | TX | |
| 8R1566 | Other | TX | BLUE CROSS OF TEXAS |
| 125745307 | Medicaid | TX | |
| 125745306 | Medicaid | TX | |
| 125745301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- Icahn School of Medicine at Mount Sinai, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6204 Balcones Dr
Austin, TX 78731-4214
Phone (512) 427-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K1694 | TX | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seton Family of Doctors | Current | Accepting new patients | |
| Texas Oncology PA | Gynecologic Oncology | Current | Accepting new patients |
| Texas Oncology PA | Gynecologic Oncology | Current | Accepting new patients |
| Seton Family of Doctors | Current | Accepting new patients |
Locations
4101 James Casey St
Ste 100
Austin, TX 78745
Phone (512) 447-2202
12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
6204 Balcones Dr
Austin, TX 78731
Phone (512) 302-1771
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
1350 First Colony Blvd
Sugar Land, TX 77479
Phone (281) 276-3467
1700 W State Highway 6
Woodway, TX 76712
Phone (254) 399-0741
Interoperability endpoints
- michael.teneriello@txo.ikm.direct-ci.com
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1801834809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000",
"fax_number": "972-437-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6204 BALCONES DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314214",
"telephone_number": "512-302-1771",
"fax_number": "512-302-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENERIELLO",
"first_name": "MICHAEL",
"middle_name": "GUY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "TX",
"license": "K1694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125745303",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125745302",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF TEXAS",
"identifier": "8R1566",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125745307",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125745306",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125745301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.