Individual provider Active NPI

Terence L Angtuaco, M.D.

  • Gastroenterology Physician
  • Little Rock, AR
National Provider Identifier
1497790877
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E2982 Issued in 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
Last updated
Jan 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X E2982 AR Primary

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 1

IdentifierTypeStateIssuer
145255001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20041229000463 AR Practitioner - Gastroenterology 8729046305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

Merit-based Incentive Payment System (MIPS)

Final score
54.59 of 100Reported as group
Quality
80.85
Promoting interoperability
0
Improvement activities
20
Cost
76.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy195
Upper gastrointestinal (GI) endoscopy for acid reflux291

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E2982ARMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Gastroenterology Associates PLLC Gastroenterology CurrentSince Jun 1, 2018 Accepting new patients
Premier Gastroenterology Associates PLLC Gastroenterology CurrentSince Jun 1, 2018 Accepting new patients
William L. McColgan, III, M.D., PA Past Accepting new patients

Locations

10001 Lile Dr
Ste 200
Little Rock, AR 72205
Phone (501) 227-8000

10915 N Rodney Parham Rd
Little Rock, AR 72212
Phone (501) 747-2828

10915 N Rodney Parham Rd
Ste B
Little Rock, AR 72212
Phone (501) 747-2828

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73349

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1497790877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26618",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722216601",
            "telephone_number": "501-747-2828",
            "fax_number": "501-406-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10915 NORTH RODNEY PARHAM ROAD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722124114",
            "telephone_number": "501-747-2828",
            "fax_number": "501-406-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGTUACO",
        "first_name": "TERENCE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "E2982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145255001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.