Kurt M Terrell, M.D.
Individual provider Active NPI Anesthesiology Physician · 1125 W Jefferson Street, IN
NPI 1528082658 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1528082658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 01050084 (IN)
- Practice address
- Johnson Memorial Health
1125 W Jefferson Street, IN 46131 - Phone
- (317) 736-3300
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Indiana University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Johnson Memorial Hospital
Practice addresses (Care Compare)
1125 W Jefferson St
Franklin, IN 46131-2140
Phone (317) 346-3858
Hospital & facility affiliations
- Johnson Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20050519000819 | IN | Practitioner - Anesthesiology | 2466493440 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01050084 | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Memorial Hospital | Current |
Accepting new patients | |
| Johnson Memorial Hospital | Current |
Accepting new patients |
Locations
1125 W Jefferson St
Franklin, IN 46131
Phone (317) 346-3858
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01050084 | IN | Yes |
Addresses
Primary practice location
Johnson Memorial Health
1125 W Jefferson Street, IN 46131
Mailing address
450 E 96TH St Ste 200
Indianapolis, IN 46240-3797
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200371540 | Medicaid | IN |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. 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.