NPIMap

Organization Active NPI

Aceso Visiting Physicians and Geriatric Care Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Crown Point, IN
National Provider Identifier
1982010690
Registry record updated Jul 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
02002441 Issued in IN
Legal business name
ACESO VISITING PHYSICIANS AND GERIATRIC CARE INC.
Practice address
300 N Main St Ste D
Crown Point, IN 46307-3281
Phone
(219) 663-4877
Fax
(219) 663-4877
NPI assigned
Jul 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2021

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

Authorized official

Name
Kristine Teodori, DONPI 1316943137
Title
Owner
Phone
(219) 663-4888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 02002441 IN Primary

Addresses

Primary practice location

300 N Main St Ste D
Crown Point, IN 46307-3281

Mailing address

300 N Main St Ste D
Crown Point, IN 46307-3281
Phone (219) 663-4877

Other names 1

  • Kristine Teodori Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140716000095 IN Part B Supplier - Clinic/Group Practice 9133344708 Receives reassigned benefits from 18 practitioners
Practice locations: Crown Point, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2111626Aceso Visiting Physicians and Geriatric Care300 N Main St Suit D, Crown Point, IN 46307Certificate of waiverApr 11, 2028

National Provider Directory

National Provider Directory

Locations

300 N Main St
Ste D
Crown Point, IN 46307
Phone (219) 663-4877

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625356800000",
    "number": "1982010690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST STE D",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073281",
            "telephone_number": "219-663-4877",
            "fax_number": "219-663-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST STE D",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073281",
            "telephone_number": "219-663-4877",
            "fax_number": "219-663-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACESO VISITING PHYSICIANS AND GERIATRIC CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2021-07-04",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "TEODORI",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-663-4888",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IN",
            "license": "02002441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristine Teodori",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kristine Teodori",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; 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.