NPIMap

Individual provider Active NPI

Justin W Terry, MD

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1235453093
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14755 Issued in NV
Practice address
2450 W Horizon Ridge Pkwy #150
Henderson, NV 89052
Phone
(702) 990-0622
Fax
(750) 938-1473
NPI assigned
Mar 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14755 NV Primary

Addresses

Primary practice location

2450 W Horizon Ridge Pkwy #150
Henderson, NV 89052

Mailing address

2450 W Horizon Ridge Pkwy #150
Henderson, NV 89052
Phone (702) 990-0622

Other identifiers 3

IdentifierTypeStateIssuer
12540672OtherCAQH
1235453093OtherNPI
14755OtherNVMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20130708000703 NV Practitioner - Internal Medicine 2769622166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nevada School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Concierge Care Physicians LLPGroup PAC ID 3678578051, 3 clinicians

Practice addresses (Care Compare)

2450 W Horizon Ridge Pkwy
Suite 150
Henderson, NV 89052-2722
Phone (702) 990-0622

Hospital & facility affiliations

  • Connolly Care Home health agency, Las Vegas, NV, CCN 297236
  • Care First Home Health Care Home health agency, Las Vegas, NV, CCN 297143
  • Lorian Health Home health agency, Las Vegas, NV, CCN 297099
  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Saint Rose Dominican Hospitals - Siena Campus Hospital, Henderson, NV, CCN 290045

Merit-based Incentive Payment System (MIPS)

Final score
88.77 of 100Reported as group
Quality
98.26
Promoting interoperability
100
Improvement activities
40
Cost
64.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions26
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Care Physicians, LLP Internal Medicine CurrentSince Aug 1, 2014 Accepting new patients
Dignity Health Past Accepting new patients
Sparks Family Hospital Inc Past Accepting new patients

Locations

2450 W Horizon Ridge Pkwy
Ste 150
Henderson, NV 89052
Phone (702) 990-0622

Interoperability endpoints

  • Direct secure messaging: justin.terry.1@13309.direct.athenahealth.com

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.

Hospital & facility affiliations 5

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": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1235453093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HORIZON RIDGE PKWY #150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-990-0622",
            "fax_number": "750-938-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W HORIZON RIDGE PKWY #150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-990-0622",
            "fax_number": "750-938-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JUSTIN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-23",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "14755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12540672",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235453093",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "14755",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.