Active NPI
Roger E Teller, MD
- Infectious Disease Physician
- Covington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 33494
- Practice address
- 1500 James Simpson Jr Way
Covington, KY 41011-0801 - Phone
- (859) 655-1100
- Fax
- (859) 655-1102
- NPI assigned
- Jun 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 01039670A | IN | |
| Infectious Disease Physician | 207RI0200X | 33494 | KY | Primary |
Addresses
Primary practice location
1500 James Simpson Jr Way
Covington, KY 41011-0801
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 655-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64343940 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Summit Medical Group Inc
Practice addresses (Care Compare)
1500 James Simpson Jr Way
Covington, KY 41011-0800
Phone (859) 655-4111
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (812) 496-8771
Hospital & facility affiliations
- St Elizabeth Home Care
- St Elizabeth Edgewood
- St Elizabeth Ft Thomas
- St Elizabeth Florence
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 535 |
| Removal of nail tissue | 11 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01039670A | IN | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc | Current | Accepting new patients | |
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Summit Medical Group, Inc | Current | Accepting new patients | |
| Cardiovascular & Thoracic Surgeons, Inc. | Past | Accepting new patients |
Locations
204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353
334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065
20 Medical Village Dr
Ste 355
Edgewood, KY 41017
Phone (859) 341-6888
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- https://api.platform.athenahealth.com/6293/brand/1/csg/1/fhir/r4
- rteller25837@direct-prd.stelizabeth.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.
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Cincinnati, OH
- NPI 1548299431
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
-
- Home Health Agency
- Florence, KY
- NPI 1316136534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692748800000",
"number": "1992747372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 635283",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452635283",
"telephone_number": "859-655-1100",
"fax_number": "859-655-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 JAMES SIMPSON JR WAY",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410110801",
"telephone_number": "859-655-1100",
"fax_number": "859-655-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TELLER",
"first_name": "ROGER",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IN",
"license": "01039670A",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "KY",
"license": "33494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64343940",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.