Individual provider Active NPI

Terrance T. Ursetta, DO

  • Anesthesiology Physician
  • Pembroke Pines, FL
National Provider Identifier
1023085347
Registry record updated Jul 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
OS5848 Issued in FL
Practice address
1779 N University Dr
Suite #101
Pembroke Pines, FL 33024-0929
Phone
(954) 963-0888
NPI assigned
Mar 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X OS5848 FL Primary

Addresses

Primary practice location

1779 N University Dr
Suite #101
Pembroke Pines, FL 33024-0929

Mailing address

4631 NW 31St Ave
Suite 127
Fort Lauderdale, FL 33309-3433

Other identifiers 4

IdentifierTypeStateIssuer
P01051387OtherFLRR MEDICARE
064549400MedicaidFL
80410OtherFLB/S FL
80410WOtherFLMEDICARE

Other names 1

  • Terrance Thomas Ursetta Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, MO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110124000277 FL Practitioner - Anesthesiology 0547449548 Reassigns benefits to 2 organizations
I20170712002971 NY Practitioner - Anesthesiology 0547449548 Reassigns benefits to 1 organization
I20200328000096 MO Practitioner - Anesthesiology 0547449548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-4141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
58.17
Promoting interoperability
100
Improvement activities
40
Cost
75.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5848FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
Curators of the University of Missouri CurrentSince Aug 16, 2021 Accepting new patients
East Coast Anesthesia Associates PA Anesthesiology CurrentSince Sep 23, 2014 Accepting new patients
The Curators of the University of Missouri CurrentSince Aug 16, 2021 Accepting new patients
East Coast Anesthesia LLC Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
SSM Health Care Group Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Premier Anesthesia of New York, P.C. Anesthesiology CurrentSince Jun 1, 2017 Accepting new patients
Premier Anesthesia of Florida LLC Anesthesiology PastSince Jan 19, 2020 Accepting new patients
Surgery Center of Okeechobee, LLC Past Accepting new patients

Locations

2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469

401 SW 42nd Ave
Ste 201
Coral Gables, FL 33134
Phone (305) 447-0882

7408 Lake Worth Rd
Ste 900
Lake Worth, FL 33467
Phone (561) 433-5700

6830 S US Highway 1
Port St Lucie, FL 34952
Phone (772) 873-6700

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

1100 Virginia Ave
Columbia, MO 65212
Phone (573) 882-2663

1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222

3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022

10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

Organizations & group practices 9

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 2

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": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467590400000",
    "number": "1023085347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4631 NW 31ST AVE",
            "address_2": "SUITE 127",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 N UNIVERSITY DR",
            "address_2": "SUITE #101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240929",
            "telephone_number": "954-963-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSETTA",
        "first_name": "TERRANCE",
        "middle_name": "T.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-06",
        "last_updated": "2016-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "OS5848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01051387",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064549400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S FL",
            "identifier": "80410",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "80410W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRANCE",
            "last_name": "URSETTA",
            "middle_name": "THOMAS",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.