NPIMap

Individual provider Active NPI

Terence E Grewe, D.O.

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1003866286
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2368 Issued in OK
Practice address
3316 E 21St St
Suite a
Tulsa, OK 74114-1967
Phone
(918) 749-3533
Fax
(918) 749-9789
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2368 OK Primary

Addresses

Primary practice location

3316 E 21St St
Suite a
Tulsa, OK 74114-1967

Mailing address

3316 E 21St St
Suite a
Tulsa, OK 74114-1967
Phone (918) 749-3533

Other identifiers 4

IdentifierTypeStateIssuer
400522226OtherMEDICARE GROUP NUMBER
100746500AOtherOKMEDICAID GROUP NUMBEF
1073658092OtherNPI GROUP NUMBER
100228760AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100408000281 OK Practitioner - Family PracticePractitioner - Geriatric Medicine 8820075849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

3316 E 21St St
Suite a
Tulsa, OK 74114-1927
Phone (918) 749-3533

Hospital & facility affiliations

  • Truheart Home Health Home health agency, Tulsa, OK, CCN 377615
  • Elara Caring XXV Home health agency, Tulsa, OK, CCN 377667
  • Good Shepherd Hospice, Inc. Hospice, Tulsa, OK, CCN 371575
  • Hillcrest Medical Center Hospital, Tulsa, OK, CCN 370001
  • Hillcrest Hospital South Hospital, Tulsa, OK, CCN 370202
  • Oklahoma State University Medical Center Hospital, Tulsa, OK, CCN 370078

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2368OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group, LLC CurrentSince Nov 1, 2016 Accepting new patients
Ahs Oklahoma Physician Group LLC Family Medicine CurrentSince Nov 1, 2016 Accepting new patients
Good Shepherd Hospice Inc Family Medicine PastSince Jan 1, 2022 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

Dept 1206
Tulsa, OK 74182

3316 E 21st St
Ste A
Tulsa, OK 74114
Phone (918) 749-1967

Networks

  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc

Interoperability endpoints

  • Direct secure messaging: tgrewe113020@ahs.direct-ci.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Good Shepherd Hospice IncTulsa, OK, CCN 371575 Hospice Contracted Managing Employee (100%) Jan 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1003866286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 E 21ST ST",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141967",
            "telephone_number": "918-749-3533",
            "fax_number": "918-749-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 E 21ST ST",
            "address_2": "SUITE A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741141967",
            "telephone_number": "918-749-3533",
            "fax_number": "918-749-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREWE",
        "first_name": "TERENCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "400522226",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBEF",
            "identifier": "100746500A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP NUMBER",
            "identifier": "1073658092",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100228760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.