Individual provider Active NPI

Adolfo Enrique Teran, M.D.

  • Family Medicine Physician
  • Clermont, FL
National Provider Identifier
1699892422
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME97840 Issued in FL
Practice address
835 7TH St
Suite 5
Clermont, FL 34711-2190
Phone
(352) 404-8961
Fax
(352) 404-8996
NPI assigned
Mar 25, 2007
Last updated
Mar 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME97840 FL Primary

Addresses

Primary practice location

835 7TH St
Suite 5
Clermont, FL 34711-2190

Mailing address

835 7TH St
Suite 5
Clermont, FL 34711-2190
Phone (352) 404-8961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070912000409 FL Practitioner - Family PracticePractitioner - Emergency Medicine 9234222860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

835 7TH St
Suite 5
Clermont, FL 34711-2190
Phone (352) 404-8961

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME97840FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Doc Family Medicine,PLLC CurrentSince Oct 15, 2011 Accepting new patients
South Lake Internal Medicine PA Past Accepting new patients
Central Florida Internists, Inc. Family Medicine Past Accepting new patients

Locations

835 7th St
Ste 5
Clermont, FL 34711
Phone (352) 404-8961

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1699892422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 7TH ST",
            "address_2": "SUITE 5",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112190",
            "telephone_number": "352-404-8961",
            "fax_number": "352-404-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 7TH ST",
            "address_2": "SUITE 5",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112190",
            "telephone_number": "352-404-8961",
            "fax_number": "352-404-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAN",
        "first_name": "ADOLFO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME97840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.