Terence L Angtuaco, M.D.
Individual provider Active NPI Gastroenterology Physician · Little Rock, AR
NPI 1497790877 · NPPES record last updated Jan 24, 2020
Key facts
- NPI
- 1497790877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- E2982 (AR)
- Practice address
- 10915 North Rodney Parham Road
Little Rock, AR 72212-4114 - Phone
- (501) 747-2828
- Fax
- (501) 406-9265
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Gastroenterology Associates PLLC
Practice addresses (Care Compare)
10915 N Rodney Parham Rd
Suite B
Little Rock, AR 72212-4114
Phone (501) 747-2828
10915 N Rodney Parham Rd
Suite B
Little Rock, AR 72212-4202
Hospital & facility affiliations
- Baptist Health Medical Center-Little Rock
- Baptist Health Medical Center North Little Rock
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.59 of 100
- Quality
- 80.85
- Promoting interoperability
- 0
- Improvement activities
- 20
- Cost
- 76.1
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 195 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 291 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041229000463 | AR | Practitioner - Gastroenterology | 8729046305 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2982 | AR | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Gastroenterology Associates PLLC | Gastroenterology | Current |
Accepting new patients |
| Premier Gastroenterology Associates PLLC | Gastroenterology | Current |
Accepting new patients |
| William L. McColgan, III, M.D., PA | Past | Accepting new patients |
Locations
10915 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 747-2828
10001 Lile Dr
Ste 200
Little Rock, AR 72205
Phone (501) 227-8000
10915 N Rodney Parham Rd
Ste B
Little Rock, AR 72212
Phone (501) 747-2828
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73349
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | E2982 | AR | Yes |
Addresses
Primary practice location
10915 North Rodney Parham Road
Little Rock, AR 72212-4114
Mailing address
PO Box 26618
Little Rock, AR 72221-6601
Phone (501) 747-2828
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145255001 | Medicaid | AR |
Other providers in Little Rock, AR
- Angels of Arkansas Non-Medical Homecare LLC
- Cassidy Angerman
- Edward E Angtuaco
- Michael Jason Angtuaco
- Sylvia Angtuaco
- Teresita Angtuaco
- Tyler Angtuaco
- Maliha Aniqa
- Anita L. Aebersold, DDS PA
- Ekow Annan
All providers in Little Rock, AR · Gastroenterology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.