DR. JOHN P TEIXEIRA (M.D.) – Diagnostic Radiology Physician, NPI 1124010038

DR. JOHN P TEIXEIRA (M.D.) is a healthcare provider. based in Tacoma, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD61491763 (WA). The NPI Number for DR. JOHN P TEIXEIRA (M.D.) is 1124010038

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN P TEIXEIRA (M.D.)
NPI
1124010038
Phone
(253) 761-4200
Address
1304 Fawcett Ave Ste 100
Enumeration Date
17 August 2005
Last Update Date
3 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3154522555
Graduation Year
1988 (38 years ago)
PAC ID
9335044700
Group Practice PAC ID
5991775553
Professional Enrollment ID
I20080214000262
Address ID
NY130884841LI5100XRDXX408
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,262 DIAGNOSTIC RADIOLOGY in WA

Provider Addresses for DR. JOHN P TEIXEIRA (M.D.)

  • 1304 Fawcett Ave Ste 100

    Tacoma, WA 984021900

    Phone: (253) 761-4200

    Type: Location

  • 4567 CROSSROADS PARK DR

    2ND FLOOR

    LIVERPOOL, NY 130883589

    Phone: (315) 295-2100

    Fax: (315) 295-2125

    Type: Mailing

  • 5100 W TAFT RD

    SUITE 2A

    LIVERPOOL, NY 130883807

    Phone: (315) 452-2555

    Fax: (315) 452-2559

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080214000262IDiagnostic RadiologyNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml13,865128$0
77067Screening mammography531531$0
77063Screening 3d breast mammography530530$0
71045X-ray of chest, 1 view392316$0
71046X-ray of chest, 2 views380365$0
View full utilization report →

Insurance plans in this area (ZIP 98402)

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Provider's Procedures

DR. JOHN P TEIXEIRA (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYNY71010X-ray of chest, 1 view, front761622
DIAGNOSTIC RADIOLOGYNY71250CT scan chest6261
DIAGNOSTIC RADIOLOGYNY73630X-ray of foot, minimum of 3 views1716
DIAGNOSTIC RADIOLOGYNY74177CT scan of abdomen and pelvis with contrast4343
DIAGNOSTIC RADIOLOGYNY76830Ultrasound pelvis through vagina2625
DIAGNOSTIC RADIOLOGYNY93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4444

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991775553View full group profile
NameSpecialtyState
-NY
Diagnostic RadiologyMD
Diagnostic RadiologyNY
Physician AssistantNY
Diagnostic RadiologyNY
Diagnostic Radiology, Interventional RadiologyNY
-NY
-NY
Diagnostic RadiologyNY
Diagnostic RadiologyNY

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Frequently asked questions

Where can patients find DR. JOHN P TEIXEIRA (M.D.)'s NPI?
You can confirm DR. JOHN P TEIXEIRA (M.D.) with NPI 1124010038; it appears in the national provider directory.
Is DR. JOHN P TEIXEIRA (M.D.)'s NPI currently valid?
The extract we use shows DR. JOHN P TEIXEIRA (M.D.) as active.
What field does DR. JOHN P TEIXEIRA (M.D.) work in?
You can think of DR. JOHN P TEIXEIRA (M.D.) as practicing within Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JOHN P TEIXEIRA (M.D.)?
The snapshot lists Tacoma, Washington for DR. JOHN P TEIXEIRA (M.D.); download NPPES for the complete set.
Is DR. JOHN P TEIXEIRA (M.D.) a real provider?
This page reflects official NPPES data for NPI 1124010038. Always confirm identity and privileges with the practice and licensing boards.

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