MAGDALENE TIKUN TEBA MD
NPI 1295315257
Emergency Medicine in Detroit, MI

Q: What is Magdalene Teba's NPI number?

The NPI number for Magdalene Teba is 1295315257. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Q: What is Magdalene Teba's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Magdalene Teba was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 13, 2021PECOS EnrolledAccepts Medicare Assignment

6071 W OUTER DR, DETROIT, MI 48235(313) 966-1090 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2024, Apr 14, 2021 (2 updates tracked since 2021).

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About Magdalene Tikun Teba Md NPPES

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

MAGDALENE TIKUN TEBA MD (NPI 1295315257) is an individual emergency medicine provider in Detroit, Michigan, licensed in Illinois (036168067) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Touchette Regional Hospital Inc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295315257

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameMAGDALENE TIKUN TEBACredential: MD

Location Address6071 W OUTER DRDetroit, MI 48235-2624

Mailing Address128 Killarney CourtLondon, ONTARIO N5X 2B6

Phone(313) 966-1090

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 13, 2021

Last NPPES UpdateJune 12, 20242 updates tracked since enumeration

NPPES CertifiedJune 12, 2024

✔ NPI 1295315257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 036168067

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

6071 W OUTER DR, Detroit, MI 48235

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Magdalene Tikun Teba Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284043688

PECOS Enrollment IDI20240712003129

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.

Medicare Billing Reassignment

Medicare enrollment records show Magdalene Teba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Touchette Regional Hospital Inc

451 mi

Emergency Medicine

5900 BOND AVE
Cahokia Heights, IL 62207

Reassigned Medicare billing, Illinois enrollment
68 clinicians in this Medicare group

NPI 1922019926 (618) 332-3060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

24 services16 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

23 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Touchette Regional Hospital Inc

Acute Care Hospitals · Centreville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number140077

Location5900 Bond AvenueCentreville, IL 62207 · St. Clair County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48235 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 20

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

MS. LILIA POPADIUK P.A.

Physician Assistant