Terry David Krekorian, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G075338 Issued in CA

Practice address

13160 Mindanao Way
Marina del Rey, CA 90292-6358

Phone

(310) 574-0440

NPI assigned

Jun 29, 2005

Sex

Male

Sole proprietor

Yes

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

Anesthesiology

Education

University of California, San Diego School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cassileth Reconstructive Surgeons IncGroup PAC ID 8921348004, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cassileth Reconstructive Surgeons, Inc

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
  • NPI 1861979288
  Medicare reassignment Care Compare group
• Century Anesthesia Assoc.

  • Anesthesiology Physician
  • Beverly Hills, CA
  • NPI 1326036781
  NPD (past)
• General Anesthesia Specialists Partnership Medical Group

  • Anesthesiology Physician
  • West Hollywood, CA
  • NPI 1407805310
  NPD (past)
• Roberta Kung MD Inc

  • Anesthesiology Physician
  • Los Angeles, CA
  • NPI 1720020365
  NPD (past)
• Trias Global, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Newport Beach, CA
  • NPI 1518433457
  NPD (past)

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244851200000",
    "number": "1396742813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926358",
            "telephone_number": "310-574-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926358",
            "telephone_number": "310-574-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREKORIAN",
        "first_name": "TERRY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-29",
        "last_updated": "2009-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G075338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myriam Liberty Koppelmann
• Jeremy E Korman, M.D.
• Priyanka Sharma Kosaraju
• Shaunna Kotka, OTD, OTR/L, CLT-LANA
• Kathryn Kreicher, MD
• Steven Michael Krems, MD
• Pooja Krishnaswamy, DDS
• Chase Krivashei, PA
• Joanna Kuby
• Brian C Kun

• Anesthesiology Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2009; 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.