Individual provider Active NPI

Carla Territo

  • Retina Specialist (Ophthalmology) Physician
  • Florissant, MO
National Provider Identifier
1851403190
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
1999138138 Issued in MO
Practice address
1224 Graham Rd
Suite 3011
Florissant, MO 63031-8028
Phone
(314) 839-1211
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 1999138138 MO Primary

Addresses

Primary practice location

1224 Graham Rd
Suite 3011
Florissant, MO 63031-8028

Mailing address

748 Stonebluff CT
Chesterfield, MO 63005-4868

Other identifiers 1

IdentifierTypeStateIssuer
20483308MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20111216000716 MO Practitioner - Ophthalmology 5294761532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Hahnemann University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates of St Louis, IncGroup PAC ID 3577522101, 4 clinicians

Practice addresses (Care Compare)

1224 Graham Rd
Suite 3011
Florissant, MO 63031-8028
Phone (314) 839-1211

6680 Chippewa St
Suite 220
Saint Louis, MO 63109-2537
Phone (314) 351-0101

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.79
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates of St Louis, Inc Retina Specialist CurrentSince Jan 1, 2000 Accepting new patients
Eye Physicians of Saint Louis Inc. CurrentSince May 1, 2014 Accepting new patients
Eye Physicians of Saint Louis Retina Specialist CurrentSince May 1, 2014 Accepting new patients
Retina Contracting Inc PastSince Jan 1, 2000 Accepting new patients
Blessing Corporate Services Inc Past Accepting new patients

Locations

1224 Graham Rd
Ste 3011
Florissant, MO 63031
Phone (314) 839-1211

6680 Chippewa St
Ste 220
Saint Louis, MO 63109
Phone (314) 351-0101

12990 Manchester Rd
Ste 104
Saint Louis, MO 63131
Phone (314) 872-8884

6680 Chippewa St
Saint Louis, MO 63109
Phone (314) 351-0101

5700 Mexico Rd
Ste 4
Saint Peters, MO 63376
Phone (636) 926-3700

1701 Heritage Hills Dr
Washington, MO 63090
Phone (636) 229-1265

Interoperability endpoints

  • Direct secure messaging: cterrito@rastlouis.intellechartdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1851403190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 STONEBLUFF CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630054868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 GRAHAM RD",
            "address_2": "SUITE 3011",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318028",
            "telephone_number": "314-839-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRITO",
        "first_name": "CARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "1999138138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20483308",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.