Mark R. Terrell, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

036089479 Issued in IL

Practice address

417 N Arboretum Cir
Wheaton, IL 60189-8703

Phone

(630) 364-6564

NPI assigned

Jun 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Clinical Colleagues Inc

  • Anesthesiology Physician
  • Galesburg, IL
  • NPI 1316399967
  Medicare reassignment NPD
• Northstar Anesthesia of Illinois, LLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1962822395

  IL

  Medicare reassignment NPD
• Clinical Colleagues Inc

  • Anesthesiology Physician
  • Van Wert, OH
  • NPI 1992725766
  NPD
• Advocate Southwest Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tinley Park, IL
  • NPI 1316009194
  NPD (past)
• Advocate Southwest Ambulatory Surgery Center LLC

  • Anesthesiology Physician
  • Tinley Park, IL
  • NPI 1336290386
  NPD (past)
• Midwest Anesthesiologists, LTD.

  • Interventional Pain Medicine Physician
  • Oak Lawn, IL
  • NPI 1447209390

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1194764621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 N ARBORETUM CIR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898703",
            "telephone_number": "630-364-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 N ARBORETUM CIR",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601898703",
            "telephone_number": "630-364-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "MARK",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IL",
            "license": "036089479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089479",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony John Tedeschi, MD
• Tai Teixeira Pickett
• Viktoria Tekielak
• Thomas C Temelkoff
• Noe Terrazas
• Whitley Tayler Terrell, LPC
• Breanna Jean Terry
• Teryn'S Therapy & Wellness, PLLC
• Sampada Thatte
• The Everpresent Center, P.C.

• Anesthesiology Physician in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Anesthesiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.