Individual provider Active NPI

Anthony Paul Terrasse, M.D.

  • Plastic Surgery Physician
  • Lake Forest, IL
National Provider Identifier
1477544302
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
036-069846 Issued in IL
Practice address
700 N Westmoreland Rd
Building D
Lake Forest, IL 60045-1679
Phone
(847) 234-2400
Fax
(847) 234-2470
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 036-069846 IL Primary

Addresses

Primary practice location

700 N Westmoreland Rd
Building D
Lake Forest, IL 60045-1679

Mailing address

700 North Westmoreland Road
Building D
Lake Forest, IL 60045
Phone (847) 234-2400

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aterrasse234526@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080619000206 IL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 9032280052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Vanderbilt University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

700 N Westmoreland Rd
Suite D
Lake Forest, IL 60045-1672
Phone (847) 234-2400

Hospital & facility affiliations

  • Northwestern Lake Forest Hospital Hospital, Lake Forest, IL, CCN 140130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-069846ILMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony P. Terrasse M.D. S.C. Plastic Surgery CurrentSince Jul 11, 1989 Accepting new patients

Locations

700 N Westmoreland Rd
Ste D
Lake Forest, IL 60045
Phone (847) 234-2400

Interoperability endpoints

  • Direct secure messaging: aterrasse@directaddress.net

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.

Hospital & facility affiliations 1

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1477544302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NORTH WESTMORELAND ROAD",
            "address_2": "BUILDING D",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "60045",
            "telephone_number": "847-234-2400",
            "fax_number": "847-234-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N WESTMORELAND RD",
            "address_2": "BUILDING D",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451679",
            "telephone_number": "847-234-2400",
            "fax_number": "847-234-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRASSE",
        "first_name": "ANTHONY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036-069846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aterrasse234526@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "700 N Westmoreland Rd",
            "address_2": "Building D",
            "city": "Lake Forest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600451679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "700 N Westmoreland Rd",
            "address_2": "Building D",
            "city": "Lake Forest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600451679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.