Teresa J Tibbetts M D LLC
NPI 1053594275 · Family Medicine Physician · Lake Havasu City, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Teresa J Tibbetts M D LLC is a Family Medicine Physician organization in Lake Havasu City, AZ (NPI 1053594275).
Provider details
- NPI number
- 1053594275
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Teresa Tibbetts, Owner(928) 680-4233
- License
- 27163 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-11
- Last updated
- 2008-08-05
Frequently asked questions
- What is Teresa J Tibbetts M D LLC's NPI number?
- Teresa J Tibbetts M D LLC's National Provider Identifier (NPI) is 1053594275, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Teresa J Tibbetts M D LLC?
- Teresa J Tibbetts M D LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Teresa J Tibbetts M D LLC located?
- Teresa J Tibbetts M D LLC's practice location on file with NPPES is 2082 Mesquite Ave, Lake Havasu City, AZ 86403-6710.
- What is Teresa J Tibbetts M D LLC's phone number?
- The practice phone number listed in the NPPES registry for Teresa J Tibbetts M D LLC is (928) 680-4233.
- Does Teresa J Tibbetts M D LLC accept Medicare?
- Teresa J Tibbetts M D LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Teresa J Tibbetts M D LLC?
- The authorized official listed on Teresa J Tibbetts M D LLC's NPPES record is Teresa Tibbetts, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Teresa J Tibbetts M D LLC's NPI active?
- Yes — Teresa J Tibbetts M D LLC's NPI (1053594275) is active in the NPPES registry as of the last update on 2008-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.