Individual provider Active NPI

Terra Renee Pearson, M.D.

  • Transplant Surgery Physician
  • Milwaukee, WI
National Provider Identifier
1730320912
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
65924 Issued in WI
Practice address
9200 W Wisconsin Ave
Transplant Surgery
Milwaukee, WI 53226
Phone
(414) 805-6400
Fax
(414) 955-0213
NPI assigned
Mar 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X C1-0027930 DE
Surgery Physician 208600000X 65924 WI
Surgery Physician 208600000X C1-0027930 DE
Transplant Surgery Physician 204F00000X 65924 WI Primary

Addresses

Primary practice location

9200 W Wisconsin Ave
Transplant Surgery
Milwaukee, WI 53226

Mailing address

9200 W Wisconsin Ave
Transplant Surgery
Milwaukee, WI 53226-3522
Phone (414) 805-6400

Other practice location 1

4735 Ogletown Stanton Rd Ste 2224
Newark, DE 19713-8000
Phone (302) 623-3866

Other identifiers 1

IdentifierTypeStateIssuer
1730320912MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160816001090 WI Practitioner - General Surgery 7113140724 Reassigns benefits to 1 organization
I20250407003407 DE Practitioner - General Surgery 7113140724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
82.81
Promoting interoperability
100
Improvement activities
40
Cost
77.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65924WIMDTransplant Surgery Physician
C1-0027930DEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. Transplant Surgery CurrentSince Aug 1, 2016 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc Transplant Surgery CurrentSince Apr 1, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Apr 1, 2025 Accepting new patients

Locations

4735 Ogletown Stanton Rd
Ste 2224
Newark, DE 19713
Phone (302) 266-0355

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Interoperability endpoints

  • Direct secure messaging: tpearsonmd200934@direct.froedtert.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1730320912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "TRANSPLANT SURGERY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-6400",
            "fax_number": "414-955-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "TRANSPLANT SURGERY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-805-6400",
            "fax_number": "414-955-0213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4735 Ogletown Stanton Rd Ste 2224",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197138000",
            "country_code": "US",
            "telephone_number": "302-623-3866",
            "fax_number": "302-623-3864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "TERRA",
        "middle_name": "RENEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "DE",
            "license": "C1-0027930",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "65924",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C1-0027930",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "WI",
            "license": "65924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730320912",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.