Individual provider Active NPI

Teresa K. Cusa, M.D.

  • Anesthesiology Physician
  • Fairhope, AL
National Provider Identifier
1861446536
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
00018484 Issued in AL
Practice address
750 Morphy Ave
Fairhope, AL 36532-1812
Phone
(251) 990-1109
Fax
(251) 990-1112
NPI assigned
May 19, 2006
Last updated
May 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 00018484 AL Primary

Addresses

Primary practice location

750 Morphy Ave
Fairhope, AL 36532-1812

Mailing address

PO Box 2715
Decatur, AL 35602-2715
Phone (256) 764-9697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20110119000373 AL Practitioner - Anesthesiology 3971782285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of South Alabama College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Shore Anesthesia, P.C.Group PAC ID 9830089978, 42 clinicians

Practice addresses (Care Compare)

750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 990-1109

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00018484ALMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Anesthesia PC Anesthesiology CurrentSince Feb 7, 2000 Accepting new patients

Locations

27961 US Highway 98
Daphne, AL 36526
Phone (251) 435-6850

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

Organizations & group practices 1

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 2

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1861446536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2715",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356022715",
            "telephone_number": "256-764-9697",
            "fax_number": "256-764-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MORPHY AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321812",
            "telephone_number": "251-990-1109",
            "fax_number": "251-990-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSA",
        "first_name": "TERESA",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "00018484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.