DR. TERAKEITH LERTSBURAPA (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1033360706
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
749 PATHOLOGY in OH
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Provider Addresses for DR. TERAKEITH LERTSBURAPA (MD)
116 NORTHRIDGE OVAL APT 116-16
BROOKLYN, OH 441443214
Phone: (630) 915-4510
Type: Mailing
MetroHealth Medical Center, 2500, Metrohealth Drive, Brooklyn Centre, Cleveland, Cuyahoga County, Ohio, 44109, United States
CLEVELAND, OH 441091900
Phone: (630) 915-4510
Type: Location
PO BOX 372
MATTOON, IL 619380372
Phone:
Type: Mailing
1000 HEALTH CENTER DR
MATTOON, IL 619384644
Phone: (217) 258-2247
Fax: (217) 238-4584
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: 2024-09-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240909001509 | I | Pathology | IL | TBD |
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.
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 44144)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | IN | |
| Nurse Practitioner | IL | |
| Interventional Radiology, Diagnostic Radiology | PA | |
| Emergency Medicine | IL | |
| Family Practice, Obstetrics/Gynecology | IN | |
| Orthopedic Surgery | WI | |
| Hospitalist, Family Practice, Family Practice | IN | |
| Emergency Medicine, Internal Medicine | MS | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Nurse Practitioner | IL |
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