KEVIN TERRELL (MD) – Addiction Medicine (Family Medicine) Physician, NPI 1760591648

KEVIN TERRELL (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in ADDICTION MEDICINE, EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 02001985A (IN). The NPI Number for KEVIN TERRELL (MD) is 1760591648

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN TERRELL (MD)
NPI
1760591648
Phone
(317) 630-7276
Address
1001 W 10th St
Enumeration Date
30 August 2006
Last Update Date
6 September 2024

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8123733025
Graduation Year
1997 (29 years ago)
PAC ID
3779674429
Group Practice PAC ID
1052612314
Professional Enrollment ID
I20070809000282
Address ID
IN472015351CO2400XSTXX300

Contacts

Secure Messaging
kterrell8539@edirect.crh.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

38 ADDICTION MEDICINE in IN

Provider Addresses for KEVIN TERRELL (MD)

  • 1001 W 10th St

    Indianapolis, IN 462022859

    Phone: (317) 630-7276

    Type: Location

  • Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States

    CHICAGO, IL 606775383

    Phone: (812) 376-5315

    Type: Mailing

  • 2630, 22nd Street, Columbus, Bartholomew County, Indiana, 47201, United States

    COLUMBUS, IN 47201

    Phone: (812) 375-3784

    Fax: (812) 375-3781

    Type: Location

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: 2007-08-09

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
I20070809000282IAddiction MedicineINTBD

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
80305Testing for presence of drug, read by direct observation8216$0
View full utilization report →

Insurance plans in this area (ZIP 46202)

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Provider's Procedures

KEVIN TERRELL (MD) performs procedures in ADDICTION MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEIN93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report411381

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: 1052612314View full group profile
NameSpecialtyState
-IL
Family PracticeIL
Physician AssistantIN
N E U R O L O G YFL
Nurse PractitionerIN
Nurse PractitionerIL
Family PracticeIN
Family PracticeIN
Physician AssistantIL
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is the registry number for KEVIN TERRELL (MD)?
The registry entry for KEVIN TERRELL (MD) shows NPI 1760591648.
Is KEVIN TERRELL (MD)'s NPI status active today?
Active status means KEVIN TERRELL (MD)'s NPI record is not deactivated in the public file.
How should patients interpret KEVIN TERRELL (MD)'s specialty?
The extract shows Addiction Medicine (Family Medicine) Physician for KEVIN TERRELL (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEVIN TERRELL (MD)?
KEVIN TERRELL (MD) is associated with Indianapolis, Indiana in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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