MEDICARE: DR. ANTHONY TERRERI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	ME106631	FL
2	2085R0202X	Diagnostic Radiology Physician	01046242	IN
3	2085R0202X	Diagnostic Radiology Physician	251471	NY
4	2085R0202X	Diagnostic Radiology Physician	N1178	TX
5	2085R0202X	Diagnostic Radiology Physician	MD210012073	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME106631	OTHER	FL	FL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457332447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY TERRERI MD

Provider Business Mailing Address
First Line	:	2201 N CENTRAL EXPY STE 185
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-2763
Country	:	US
Telephone Number	:	303-933-8270
Fax Number	:	972-437-3369

Provider Business Practice Location Address
First Line	:	2041 GEORGIA AVE NW # 1R84
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20060-2739
Country	:	US
Telephone Number	:	202-865-3610
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	06/20/2025

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