Individual provider Active NPI

Terrence Thomas Slattery, M.D.

  • Cardiovascular Disease Physician
  • Council Bluffs, IA
National Provider Identifier
1396826871
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD-34378 Issued in IA
Practice address
800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone
(402) 398-5880
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD-34378 IA Primary
Internal Medicine Physician 207R00000X 22336 NE
Cardiovascular Disease Physician 207RC0000X 22336 NE

Addresses

Primary practice location

800 Mercy Dr
Council Bluffs, IA 51503-3128

Mailing address

800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (402) 398-5880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040108000483 IA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9537068432 Reassigns benefits to 1 organization
I20120719000057 NE Practitioner - Cardiovascular Disease (Cardiology) 9537068432 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Creighton University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alegent Creighton ClinicGroup PAC ID 1951210418, shared by 2 NPIs, 951 clinicians
Franciscan Care Services IncGroup PAC ID 4284624909, 51 clinicians
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

1110 17TH St
Onawa, IA 51040-1337
Phone (712) 423-1457

1501 E 10TH St
Alegent Creighton Clinic Iowa Outreach
Atlantic, IA 50022-1936
Phone (712) 243-3250

430 N Monitor St
West Point, NE 68788-1595

555 S 70TH St
St Elizabeth Regional Med Center
Lincoln, NE 68510-2462
Phone (402) 219-8000

601 Rosary Dr
Corning, IA 50841-1683
Phone (641) 322-5245

603 Rosary Dr
Corning, IA 50841-1683
Phone (641) 322-3121

631 N 8TH St
Missouri Valley, IA 51555-1102
Phone (712) 642-2784

7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5580

800 Mercy Dr
Council Bluffs, IA 51503-3128

8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22336NEMDInternal Medicine Physician
MD-34378IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Care Services Inc Cardiovascular Disease CurrentSince Sep 1, 2021 Accepting new patients
Franciscan Care Services Inc CurrentSince Sep 1, 2021 Accepting new patients
CHI Health Clinic Specialty, LLC CurrentSince Jul 31, 2023 Accepting new patients
Alegent Creighton Clinic Internal Medicine Current Accepting new patients
Alegent Creighton Clinic Internal Medicine CurrentSince Jul 15, 2012 Accepting new patients
Alegent Creighton Clinic CurrentSince Jul 15, 2012 Accepting new patients
The Physician Network Internal Medicine PastSince Sep 1, 2011 Accepting new patients
Alegent Health Immanuel Medical Center Cardiovascular Disease Past Accepting new patients
Catholic Health Initiatives-Iowa Corp Cardiovascular Disease Past Accepting new patients
Iowa Heart Center PC Cardiovascular Disease Past Accepting new patients

Locations

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

800 Mercy Dr
Ste 120
Council Bluffs, IA 51503
Phone (712) 388-2633

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

2771 Solution Ctr
Chicago, IL 60677

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554

7500 S 91st St
Lincoln, NE 68526
Phone (402) 327-2700

6901 N 72nd St
Omaha, NE 68122
Phone (402) 572-2121

7500 Mercy Rd
Omaha, NE 68124
Phone (402) 398-5880

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

430 N Monitor St
West Point, NE 68788
Phone (402) 372-2404

Interoperability endpoints

  • Direct secure messaging: tslattery37965@achce.catholichealth.net

Organizations & group practices 10

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 6

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1396826871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MERCY DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033128",
            "telephone_number": "402-398-5880",
            "fax_number": "402-398-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MERCY DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033128",
            "telephone_number": "402-398-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "TERRENCE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "MD-34378",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "22336",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "22336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.