TERESA FULLER MD
NPI 1073582193
Pediatrics in Owings Mills, MD

Q: What is Teresa Fuller's NPI number?

The NPI number for Teresa Fuller is 1073582193. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Teresa Fuller's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Teresa Fuller was last updated on December 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 14, 2006PECOS Enrolled

10084 REISTERSTOWN RD STE 200B, OWINGS MILLS, MD 21117(410) 526-7993(410) 526-5144 Get Directions Write a Review

NPPES record last updated: December 21, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Teresa Fuller Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERESA FULLER MD (NPI 1073582193) is an individual pediatrics provider in Owings Mills, Maryland, licensed in Maryland (D0058861) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073582193

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameTERESA FULLERCredential: MD

Location Address10084 REISTERSTOWN RD STE 200BOwings Mills, MD 21117-4096

Mailing Address1 E University Pkwy Unit 109Baltimore, MD 21218-2432 · (410) 235-1601 · Fax (410) 467-6881

Phone(410) 526-7993

Fax(410) 526-5144

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateDecember 21, 2018

✔ NPI 1073582193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MD · D0058861

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

10084 REISTERSTOWN RD STE 200B, Owings Mills, MD 21117

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Other Identifiers 1

Medicaid400185100MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Fuller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL D POLIAKOFF M.D.

Pediatrics