ALICIA M TEAGARDEN D.O.
NPI 1407148356
Pediatrics - Pediatric Critical Care Medicine in Minneapolis, MN

Q: What is Alicia Teagarden's NPI number?

The NPI number for Alicia Teagarden is 1407148356. It was assigned to this individual provider in the NPPES registry on May 11, 2011. The provider is also known as Alicia Granos.

Q: What is Alicia Teagarden's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Alicia Teagarden was last updated on August 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 11, 2011PECOS Enrolled

2530 CHICAGO AVE STE 400, MINNEAPOLIS, MN 55404(612) 813-3300(612) 813-3349 Get Directions Write a Review

NPPES record last updated: August 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2018, Jul 3, 2018, Jun 9, 2017 (3 updates tracked since 2017).

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About Alicia M Teagarden D.o. NPPES

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

ALICIA M TEAGARDEN D.O. (NPI 1407148356) is an individual pediatric critical care medicine provider in Minneapolis, Minnesota, licensed in Minnesota (63503) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1407148356

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameALICIA M TEAGARDENCredential: D.O.

Location Address2530 CHICAGO AVE STE 400Minneapolis, MN 55404

Mailing Address2530 Chicago Ave Ste 400Minneapolis, MN 55404-4387 · (612) 813-3300 · Fax (612) 813-3349

Phone(612) 813-3300

Fax(612) 813-3349

Sole ProprietorNo

Enumeration DateMay 11, 2011

Last NPPES UpdateAugust 7, 20183 updates tracked since enumeration

✔ NPI 1407148356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in MN · 63503

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

2530 CHICAGO AVE STE 400, Minneapolis, MN 55404

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Other Names 1

Former Name (1)Alicia Granos

Secondary Practice Location 1

Location 1705 Riley Hospital Dr, RI 4900Indianapolis, IN 46202-5109 · Phone (317) 948-7128 · Fax (317) 944-3442

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia M Teagarden D.o. 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 20

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

ALBERTO ORIOLES MD

Pediatrics (Pediatric Critical Care Medicine)