Individual provider Active NPI

Terata Ann Kanu, M.D.

  • General Practice Physician
  • Keller, TX
National Provider Identifier
1376842591
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
Q6039 Issued in TX
Practice address
2122 Rufe Snow Dr Ste 132
Keller, TX 76248-5691
Phone
(817) 576-4050
Fax
(817) 796-1422
NPI assigned
Mar 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X Q6039 TX
Interventional Pain Medicine Physician 208VP0014X Q6039 TX
General Practice Physician 208D00000X Q6039 TX Primary
Internal Medicine Physician 207R00000X Q6039 TX

Addresses

Primary practice location

2122 Rufe Snow Dr Ste 132
Keller, TX 76248-5691

Mailing address

2122 Rufe Snow Dr Ste 132
Keller, TX 76248-5691
Phone (817) 576-4050

Other practice location 1

7236 Blue Mound Rd Ste 100
Saginaw, TX 76131-8829
Phone (817) 386-4505

Other practice location 2

8021 Matlock Rd Ste 131
Arlington, TX 76002-6702
Phone (817) 583-6570

Other practice location 3

101 Town Center Ln Ste 107
Keller, TX 76248-2109
Phone (817) 576-4050

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170119000005 TX Practitioner - Internal Medicine 0143501205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors for a Better Tomorrow PLLCGroup PAC ID 6608157763, 3 clinicians

Practice addresses (Care Compare)

2122 Rufe Snow Dr
Suite 132
Keller, TX 76248-5691
Phone (817) 576-4050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q6039TXMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors for a Better Tomorrow PLLC CurrentSince Dec 1, 2016 Accepting new patients

Locations

8021 Matlock Rd
Ste 131
Arlington, TX 76002
Phone (817) 576-4050

2122 Rufe Snow Dr
Ste 132
Keller, TX 76248
Phone (817) 576-4050

7236 Blue Mound Rd
Ste 100
Saginaw, TX 76131
Phone (817) 386-4505

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1376842591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 RUFE SNOW DR STE 132",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485691",
            "telephone_number": "817-576-4050",
            "fax_number": "817-796-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 RUFE SNOW DR STE 132",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762485691",
            "telephone_number": "817-576-4050",
            "fax_number": "817-796-1422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7236 Blue Mound Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "TX",
            "postal_code": "761318829",
            "country_code": "US",
            "telephone_number": "817-386-4505",
            "fax_number": "817-796-1422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8021 Matlock Rd Ste 131",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760026702",
            "country_code": "US",
            "telephone_number": "817-583-6570",
            "fax_number": "817-796-1422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Town Center Ln Ste 107",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762482109",
            "country_code": "US",
            "telephone_number": "817-576-4050",
            "fax_number": "817-796-1422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANU",
        "first_name": "TERATA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-28",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "Q6039",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "Q6039",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "Q6039",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q6039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.