Individual provider Active NPI

Peter A Ternus, D.P.M.

  • Podiatrist
  • San Leandro, CA
National Provider Identifier
1790777019
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
94-3283987 Issued in CA
Practice address
13847 E 14TH St
Ste 210
San Leandro, CA 94578-2626
Phone
(510) 351-7552
Fax
(510) 351-6009
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 94-3283987 CA Primary

Addresses

Primary practice location

13847 E 14TH St
Ste 210
San Leandro, CA 94578-2626

Mailing address

13847 E 14TH St
Ste 210
San Leandro, CA 94578-2626
Phone (510) 351-7552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100126000245 CA Practitioner - Podiatry 6608918826 Reassigns benefits to 1 organization
Practice locations: San Leandro, CA
O20100930044033 CA DME Supplier - Physician - Podiatry 0749489813 Practice locations: San Leandro, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Bay Foot and Ankle Clinic IncGroup PAC ID 0345569307, 2 clinicians

Practice addresses (Care Compare)

13847 E 14TH St
Suite 210
San Leandro, CA 94578-2626
Phone (510) 351-7552

Hospital & facility affiliations

  • Highland Hospital Hospital, Oakland, CA, CCN 050320
  • Eden Medical Center Hospital, Castro Valley, CA, CCN 050488
  • Fairmont Hospital Inpatient rehabilitation facility, San Leandro, CA, CCN 05T320

Merit-based Incentive Payment System (MIPS)

Final score
72.65 of 100Reported as group
Quality
26.53
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue130
Removal of nail tissue463
Removal or shaving of skin growth504
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4010CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Foot & Ankle Clinic Inc CurrentSince Jun 1, 2015 Accepting new patients
Hayward Sisters Hospital Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients

Locations

13847 E 14th St
Ste 210
San Leandro, CA 94578
Phone (510) 351-7552

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pternus141775@hisp.ehr.sutterhealth.org

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.

Hospital & facility affiliations 5

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1790777019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST",
            "address_2": "STE 210",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782626",
            "telephone_number": "510-351-7552",
            "fax_number": "510-351-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST",
            "address_2": "STE 210",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782626",
            "telephone_number": "510-351-7552",
            "fax_number": "510-351-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERNUS",
        "first_name": "PETER",
        "middle_name": "A",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "94-3283987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.