Kenneth David Terry, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A16604 Issued in CA

Practice address

303 E Buena Vista St
Barstow, CA 92311-2803

Phone

(760) 241-4929

Fax

(760) 241-5950

NPI assigned

Jun 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Specialty

Family Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vvipa Medical Group IncGroup PAC ID 5092185546, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Barstow Community Hospital Hospital, Barstow, CA, CCN 050298

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kennet.terry.p2@direct.hvvmg.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Vvipa Medical Group Inc

  • Clinic/Center
  • Victorville, CA
  • NPI 1295126001

  Family Medicine

  Medicare reassignment Care Compare group NPD
• High Desert Medical Group

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
  • NPI 1720196702

  Family Medicine

  Medicare reassignment NPD
• Kenneth V. Miselis, M.D. Inc.

  • Specialist
  • Stockton, CA
  • NPI 1962413740
  NPD (past)

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

• Hospital of Barstow Inc

  • General Acute Care Hospital
  • Barstow, CA
  • NPI 1780655670
  Care Compare affiliation

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1144712902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E BUENA VISTA ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112803",
            "telephone_number": "760-241-4929",
            "fax_number": "760-241-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E BUENA VISTA ST",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923112803",
            "telephone_number": "760-241-4929",
            "fax_number": "760-241-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "KENNETH",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A16604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Taylor
• Shadie Skye Tellez
• Teplow Pharmacy LLC
• Teplow Pharmacy LLC
• Brandy Terry
• Jason Teurman
• The Prescription Shoppe
• Thomas K.S. Lee, DDS, Inc.
• Craig Lee Thomas
• Ika Cattleya Putri Arief Thomas

• Family Medicine Physician in Barstow, CA
• Providers in Barstow, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.