SARA REIS TEIXEIRA MD, PHD - NPI 1194342980 - Radiology in Philadelphia, PA

Q: What is Sara Reis Teixeira's NPI number?

The NPI number for Sara Reis Teixeira is 1194342980. It was assigned to this individual provider in the NPPES registry on June 29, 2020.

Q: What is Sara Reis Teixeira's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

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About Sara Reis Teixeira Md, Phd NPPES

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

SARA REIS TEIXEIRA MD, PHD (NPI 1194342980) is an individual pediatric radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT222269) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194342980

Entity TypeIndividualFemale

Primary Taxonomy2085P0229X

Provider Legal NameSARA REIS TEIXEIRACredential: MD, PHD

Location Address3401 CIVIC CENTER BLVD DEPT OFPhiladelphia, PA 19104-4319

Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (215) 590-5564

Phone(267) 595-5872

Sole ProprietorNo

Enumeration DateJune 29, 2020

Last NPPES UpdateJuly 14, 20212 updates tracked since enumeration

NPPES CertifiedJuly 14, 2021

✔ NPI 1194342980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

License✔ Licensed in PA · MT222269

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License LT000864 (PA)

3401 CIVIC CENTER BLVD DEPT OF, Philadelphia, PA 19104

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Reis Teixeira Md, Phd 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.

Other Providers at the Same Location NPPES 9

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

MRS. SHEILA UPADHYAY M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)