TERRIE SUSIE AHN (MD) – Allergy & Immunology Physician, NPI 1093166795

TERRIE SUSIE AHN (MD) is a healthcare provider. based in Santa monica, California. specializing in ALLERGY/IMMUNOLOGY. They hold the professional credentials MD. They hold a License No. A162214 (CA). The NPI Number for TERRIE SUSIE AHN (MD) is 1093166795

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TERRIE SUSIE AHN (MD)
NPI
1093166795
Phone
(310) 481-4646
Address
1245 16TH ST
Enumeration Date
24 June 2016
Last Update Date
4 August 2022

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3104582381
Graduation Year
2016 (10 years ago)
PAC ID
1759760457
Group Practice PAC ID
1355248584
Professional Enrollment ID
I20220627003368
Address ID
CA904042139SA2020XBLVD401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

521 ALLERGY/IMMUNOLOGY in CA

Provider Addresses for TERRIE SUSIE AHN (MD)

  • 1245 16TH ST

    SANTA MONICA, CA 904041235

    Phone: (310) 481-4646

    Fax: (310) 899-7599

    Type: Location

  • 10833 LE CONTE AVE # 12-311

    LOS ANGELES, CA 900953075

    Phone:

    Type: Mailing

  • 10833 Le Conte Ave # 12-311

    Los Angeles, CA 900953075

    Phone: (310) 825-9111

    Type: Location

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $840.

Total Amount is formed as General ($840) + Research ($0) + Ownership ($0) = $840.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($238).

Total Amount

$840

General + Research + Ownership

Payments

15

Total payment records

General Amount

$840

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220627003368IAllergy/ImmunologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95004Test for allergy using allergenic extract74218$0
99204New patient office or other outpatient visit, 45-59 minutes3232$0
99205New patient office or other outpatient visit, 60-74 minutes2626$0
99214Established patient office or other outpatient visit, 30-39 minutes2316$0
99213Established patient office or other outpatient visit, 20-29 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 90404)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355248584View full group profile
NameSpecialtyState
Internal Medicine, HospitalistCA
Family PracticeCA
-CA
-CA
-CA
Emergency Medicine, Family PracticeCA
Medical Oncology, Hematology/OncologyCA
Hospitalist, Internal MedicineMA
Hospitalist, Internal MedicineCA
Hospitalist, Internal MedicineCA

Reviews

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Frequently asked questions

How do I look up TERRIE SUSIE AHN (MD) by NPI?
Use NPI 1093166795 when you need to reference TERRIE SUSIE AHN (MD) in forms, claims, or directories.
Does this profile mean TERRIE SUSIE AHN (MD) is currently active?
Yes — TERRIE SUSIE AHN (MD) appears active in the national provider directory.
What field does TERRIE SUSIE AHN (MD) work in?
You can think of TERRIE SUSIE AHN (MD) as practicing within Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for TERRIE SUSIE AHN (MD)?
The page summarizes Santa Monica, California for TERRIE SUSIE AHN (MD); expand the address list for detail.
How can I contact TERRIE SUSIE AHN (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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