Ted Masao Ikari, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

145029 Issued in OH

Practice address

2575 Northwinds Pkwy
Alpharetta, GA 30009-2232

Phone

(808) 255-4455

NPI assigned

Sep 19, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, NM2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017
• Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009
• Lovelace Westside Hospital Hospital, Albuquerque, NM, CCN 320074

Merit-based Incentive Payment System (MIPS)

Final score

84.1 of 100Reported as group

Quality

64.8

Promoting interoperability

96

Improvement activities

40

Cost

68.87

Merit-based Incentive Payment System (MIPS)

Final score

79.33 of 100Reported as group

Quality

59.78

Promoting interoperability

97

Improvement activities

40

Cost

73.83

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Main Street Anesthesia of New Mexico, LLC

  • Anesthesiology Physician
  • Albuquerque, NM
  • NPI 1275010985
  Medicare reassignment Care Compare group NPD
• Kansas Medical Center LLC

  • General Acute Care Hospital
  • Andover, KS
  • NPI 1255380127
  Medicare reassignment NPD
• Kansas Medical Center, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Andover, KS
  • NPI 1801007786
  NPD
• Kansas Medical Center, LLC

  • Anesthesiology Physician
  • Andover, KS
  • NPI 1952512832
  NPD
• Kansas Medical Center, LLC

  • Cardiovascular Disease Physician
  • Andover, KS
  • NPI 1952585341
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lovelace Health System LLC

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1306914213
  Care Compare affiliation
• Lovelace Health System, LLC

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1649373887
  Care Compare affiliation
• Lovelace Health System, LLC

  • General Acute Care Hospital
  • Albuquerque, NM
  • NPI 1982799375
  Care Compare affiliation

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1659093342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "HONOMU",
            "state": "HI",
            "postal_code": "967280129",
            "telephone_number": "808-255-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 NORTHWINDS PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300092232",
            "telephone_number": "808-255-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKARI",
        "first_name": "TED",
        "middle_name": "MASAO",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "145029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Marie Iacobone
• Glen Joseph Iannucci, M.D.
• Ideal Dental Alpharetta PC
• Tomislav Ignatov
• Ihealthgp, LLC
• Hannah Ikeler, OT
• Mihaela Ille, M.D.
• Jana Dopson Illston, M.D.
• Renee O Ilori, OTR
• Imageplus Atlanta

• Certified Registered Nurse Anesthetist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.