TEENA NERWAL M.D.
NPI 1942613146
Colon & Rectal Surgery in Edgewood, KY

Q: What is Teena Nerwal's NPI number?

The NPI number for Teena Nerwal is 1942613146. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Q: What is Teena Nerwal's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Teena Nerwal was last updated on August 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 June 05, 2014PECOS EnrolledAccepts Medicare Assignment

78.58/100

CMS Quality Rating

20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 578-5880(859) 578-5881 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 12, 2024, Jul 25, 2024, Aug 29, 2022 and 2 more (5 updates tracked since 2019).

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About Teena Nerwal M.d. NPPES

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

TEENA NERWAL M.D. (NPI 1942613146) is an individual colon & rectal surgery provider in Edgewood, Kentucky, licensed in Kentucky (TP292) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1942613146

Entity TypeIndividualFemale

Primary Taxonomy208C00000X

Provider Legal NameTEENA NERWALCredential: M.D.

Location Address20 MEDICAL VILLAGE DREdgewood, KY 41017-5401

Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 578-5880 · Fax (859) 578-5881

Phone(859) 578-5880

Fax(859) 578-5881

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 5, 2014

Last NPPES UpdateAugust 12, 20245 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1942613146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in KY · TP292

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

20 MEDICAL VILLAGE DR, Edgewood, KY 41017

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Secondary Practice Locations 3

Location 113400 E Shea BlvdScottsdale, AZ 85259-5499 · Phone (480) 301-8000

Location 25501 Old York RdPhiladelphia, PA 19141-3018 · Phone (215) 456-3443

Location 31 Medical Village Dr # 41017Edgewood, KY 41017 · Phone (859) 301-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teena Nerwal M.d. 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 ID8123409679

PECOS Enrollment IDI20241002002719

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.

Areas of Expertise CMS Part B claims

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180001

Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County

Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180045

Location4900 Houston RoadFlorence, KY 41042 · Boone County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.05

Promoting Interoperability

100

Improvement Activities

Cost

59.56

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.

INFECTIOUS DISEASE CONSULTANTS INC

Internal Medicine (Infectious Disease)

20 MEDICAL VILLAGE DR, SUITE 355
EDGEWOOD, KY 41017

Kenton County (859) 344-1512

DAVID THOMAS TACKETT APRN

Nurse Practitioner

20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Kenton County (859) 578-5880

DEBORAH JOY BARNETT PA-C

Physician Assistant

20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Kenton County (859) 578-5880

VINCENT E ZIEGLER, PSC

Psychiatry & Neurology (Psychiatry)

20 MEDICAL VILLAGE DR, SUITE 301
EDGEWOOD, KY 41017

Kenton County (859) 341-5074

DR. MICHEAL LINK ROBINSON MD, DMD

Dentist (Oral and Maxillofacial Surgery)

20 MEDICAL VILLAGE DR, SUITE 196
EDGEWOOD, KY 41017

Kenton County (859) 331-2100

VIDYA RAJARAM DEVARAJAN M.D.

Internal Medicine (Infectious Disease)

20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Kenton County (859) 344-1512

THE CRANLEY SURGICAL ASSOC,INC.

Surgery

20 MEDICAL VILLAGE DR, SUITE 394
EDGEWOOD, KY 41017

Kenton County (859) 578-0442

ANNA MORIAH GROTE CRNA

Nurse Anesthetist, Certified Registered

20 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Kenton County (859) 341-7246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teena Nerwal's NPI number?

The NPI number for Teena Nerwal is 1942613146. It was assigned to this individual provider in the NPPES registry on June 5, 2014.

Where is Teena Nerwal located?

Teena Nerwal practices at 20 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 578-5880.

What is Teena Nerwal's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Teena Nerwal enrolled in Medicare?

Yes. Teena Nerwal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Teena Nerwal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Teena Nerwal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Teena Nerwal affiliated with any hospitals?

According to CMS data, Teena Nerwal is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Teena Nerwal was last updated on August 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.