Individual provider Active NPI

David Thomas Terrano, MD, PHD

  • Dermatopathology (Pathology) Physician
  • Scottsdale, AZ
National Provider Identifier
1609169267
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
54161 Issued in AZ
Practice address
9060 E Via Linda
Suite 150
Scottsdale, AZ 85258-5422
Phone
(480) 275-2494
Fax
(480) 772-4296
NPI assigned
May 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 54161 AZ
Dermatopathology (Pathology) Physician 207ZD0900X 54161 AZ Primary

Addresses

Primary practice location

9060 E Via Linda
Suite 150
Scottsdale, AZ 85258-5422

Mailing address

11025 Rca Center Dr
Ste 300
Palm Beach Gardens, FL 33410-4269
Phone (561) 383-3820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20200729004096 DC Practitioner - PathologyPractitioner - Dermatology 4688941024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Dermatology
Education
University of Arkansas College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derm Associates LLCGroup PAC ID 4688653306, 44 clinicians

Practice addresses (Care Compare)

1730 Elton Rd
Suite 11
Silver Spring, MD 20903-5724
Phone (301) 439-4301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Derm Associates LLC CurrentSince Jul 1, 2020 Accepting new patients
Elizabeth Mitchell Dugan MD LLC Past Accepting new patients
Bethesda Dermatopathology Lab Inc. PastSince Jul 1, 2020 Accepting new patients

Locations

10313 Georgia Ave
Ste 309
Silver Spring, MD 20902
Phone (301) 681-4368

1730 Elton Rd
Ste 11
Silver Spring, MD 20903
Phone (301) 439-4301

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1609169267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 RCA CENTER DR",
            "address_2": "STE 300",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104269",
            "telephone_number": "561-383-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9060 E VIA LINDA",
            "address_2": "SUITE 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585422",
            "telephone_number": "480-275-2494",
            "fax_number": "480-772-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRANO",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "54161",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "AZ",
            "license": "54161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.