Individual provider Active NPI

David A Terry, DO

  • Vascular Surgery Physician
  • Glendale, AZ
National Provider Identifier
1801916630
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
005223 Issued in AZ
Practice address
6120 W Bell Rd
Suite 100
Glendale, AZ 85308-3781
Phone
(623) 512-4326
Fax
(623) 584-6732
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 005223 AZ Primary
Surgery Physician 208600000X 005223 AZ

Addresses

Primary practice location

6120 W Bell Rd
Suite 100
Glendale, AZ 85308-3781

Mailing address

6120 W Bell Rd
Suite 100
Glendale, AZ 85308-3781
Phone (623) 512-4326

Other identifiers 1

IdentifierTypeStateIssuer
429140MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090722000608 AZ Practitioner - Vascular SurgeryPractitioner - General Surgery 0042398950 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Michigan State University College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgicalist of Az PLLCGroup PAC ID 2264796531, 6 clinicians
Alif Group PLLCGroup PAC ID 1153807011, 2 clinicians
Center for Orthopedic Research and Education LLCGroup PAC ID 0345287322, 247 clinicians

Practice addresses (Care Compare)

13555 W McDowell Rd
Suite 204
Goodyear, AZ 85395-2626
Phone (613) 512-4326

13555 W McDowell Rd
Suite 2103
Goodyear, AZ 85395-2624
Phone (623) 292-2250

9321 W Thomas Rd
Suite 205
Phoenix, AZ 85037-3392
Phone (866) 974-2673

Hospital & facility affiliations

  • Abrazo West Campus Hospital, Goodyear, AZ, CCN 030110
  • The Core Institute Specialty Hosp Hospital, Phoenix, AZ, CCN 030108
  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115

Merit-based Incentive Payment System (MIPS)

Final score
85.65 of 100Reported as group
Quality
76.23
Promoting interoperability
100
Improvement activities
40
Cost
75.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion25
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
005223AZMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Research and Education, LLC CurrentSince Jun 12, 2023 Accepting new patients
Alif Group PLLC Vascular Surgery CurrentSince Oct 17, 2025 Accepting new patients
Surgicalist of Az PLLC Surgery CurrentSince May 1, 2018 Accepting new patients
District Medical Group, Inc CurrentSince Dec 13, 2024 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc Surgery CurrentSince Dec 13, 2024 Accepting new patients
Center for Orthopedic Research and Education LLC CurrentSince Jun 12, 2023 Accepting new patients
Salt Lake Surgical Services PLLC Surgery PastSince Apr 20, 2017 Accepting new patients
Ga Surgicalist LLC Surgery PastSince Jan 12, 2022 Accepting new patients
Surgicalist of TX PLLC Surgery PastSince Jan 1, 2020 Accepting new patients
District Medical Group, Inc Surgery Past Accepting new patients
Palanisamy Rathinasamy MD PA Past Accepting new patients
Hospital Development of West Phoenix Inc Past Accepting new patients
Florida Hospital Physician Group Inc Surgery Past Accepting new patients

Locations

6120 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 843-2900

6120 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (623) 512-4326

13555 W McDowell Rd
Ste 204
Goodyear, AZ 85395
Phone (613) 512-4326

13555 W McDowell Rd
Ste 2103
Goodyear, AZ 85395
Phone (623) 292-2250

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

9321 W Thomas Rd
Ste 205
Phoenix, AZ 85037

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

Interoperability endpoints

  • Direct secure messaging: dterry145260@cityofhope.direct-ci.com
  • Direct secure messaging: dterry231102@santaclaravalley.direct-ci.net
  • Direct secure messaging: dterry256512@direct.valleywisehealth.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1801916630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 W BELL RD",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083781",
            "telephone_number": "623-512-4326",
            "fax_number": "623-584-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 W BELL RD",
            "address_2": "SUITE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083781",
            "telephone_number": "623-512-4326",
            "fax_number": "623-584-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "005223",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "005223",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429140",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.