Active NPI
Jordan Matthew Terasaki, M.D.
- Pulmonary Disease Physician
- Wichita Falls, TX
National Provider Identifier
1154559516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- P2069
- Practice address
- 1208 Brook Ave
Wichita Falls, TX 76301-5602 - Phone
- (940) 322-4480
- Fax
- (940) 322-8420
- NPI assigned
- Jun 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | P2069 | TX | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | P2069 | TX | |
| Pulmonary Disease Physician | 207RP1001X | P2069 | TX | Primary |
Addresses
Primary practice location
1208 Brook Ave
Wichita Falls, TX 76301-5602
Mailing address
1208 Brook Ave
Wichita Falls, TX 76301-5602
Phone (940) 322-4480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- University of Texas Medical Branch at Galveston, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1208 Brook Ave
Wichita Falls, TX 76301-5602
Phone (940) 322-4480
1600 11TH St
Wichita Falls, TX 76301-4300
Phone (940) 764-7000
Hospital & facility affiliations
- United Regional Health Care System
- Wilbarger General Hospital
- Graham Regional Medical Center
- Electra Memorial Hospital
- Nocona General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Services of North Texas PLLC | Critical Care Medicine | Current | Accepting new patients |
| Critical Care Specialists of North Texas, PLLC | Critical Care Medicine | Current | Accepting new patients |
| United Regional Health Care System Inc | Current | Accepting new patients |
Locations
1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000
1208 Brook Ave
Wichita Falls, TX 76301
Phone (940) 322-4480
Interoperability endpoints
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- jterasaki14838@unitedregional.medalliesdirect.net
Organizations & group practices 3
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Wichita Falls, TX
- NPI 1851717508
-
- Critical Care Medicine (Internal Medicine) Physician
- Wichita Falls, TX
- NPI 1275934747
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Electra, TX
- NPI 1871583153
-
- Critical Access Hospital
- Graham, TX
- NPI 1063113983
-
- General Acute Care Hospital
- Nocona, TX
- NPI 1689655912
-
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
-
- General Acute Care Hospital
- Vernon, TX
- NPI 1316931835
-
- Psychiatric Hospital Unit
- Vernon, TX
- NPI 1962658302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1154559516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 BROOK AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015602",
"telephone_number": "940-322-4480",
"fax_number": "940-322-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 BROOK AVE",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763015602",
"telephone_number": "940-322-4480",
"fax_number": "940-322-8420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERASAKI",
"first_name": "JORDAN",
"middle_name": "MATTHEW",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "P2069",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "TX",
"license": "P2069",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "P2069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.