DR. MARK R. TERRELL (M.D.) – Anesthesiology Physician, NPI 1194764621

DR. MARK R. TERRELL (M.D.) is a healthcare provider. based in Wheaton, Illinois. specializing in Anesthesiology Physician. They hold the professional credentials M.D.. They hold a License No. 036089479 (IL). The NPI Number for DR. MARK R. TERRELL (M.D.) is 1194764621

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK R. TERRELL (M.D.)
NPI
1194764621
Phone
(630) 364-6564
Address
417 N ARBORETUM CIR
Enumeration Date
6 June 2006
Last Update Date
18 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083836200
Graduation Year
1991 (35 years ago)
PAC ID
9537177100
Group Practice PAC ID
5698006641
Professional Enrollment ID
I20060324000023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARK R. TERRELL (M.D.)

  • 417, North Arboretum Circle, Wheaton, DuPage County, Illinois, 60189, United States

    WHEATON, IL 601898703

    Phone: (630) 364-6564

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-03-24

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
I20060324000023IAnesthesiologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60189)

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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: 5698006641View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. MARK R. TERRELL (M.D.)?
Save NPI 1194764621 if you need a stable reference for DR. MARK R. TERRELL (M.D.).
Is DR. MARK R. TERRELL (M.D.) active in the national directory?
DR. MARK R. TERRELL (M.D.)'s public NPI profile is in an active state.
What does DR. MARK R. TERRELL (M.D.) treat or focus on?
Patients typically see DR. MARK R. TERRELL (M.D.) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does DR. MARK R. TERRELL (M.D.) practice in Illinois?
You will see Wheaton, Illinois on file for DR. MARK R. TERRELL (M.D.) alongside any extra practice locations.
What if Wheaton, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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