KENNETH TERRELL (MD) – Pulmonary Disease Physician, NPI 1164423307

KENNETH TERRELL (MD) is a healthcare provider. based in San antonio, Texas. specializing in Pulmonary Disease Physician. They hold the professional credentials MD. They hold a License No. E6649 (TX). The NPI Number for KENNETH TERRELL (MD) is 1164423307

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH TERRELL (MD)
NPI
1164423307
Phone
(210) 692-9400
Address
4410 MEDICAL DR
Enumeration Date
10 August 2005
Last Update Date
7 December 2012

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Secondary Phone
8309974353
Graduation Year
1976 (50 years ago)
PAC ID
8325061732
Group Practice PAC ID
3476688318
Professional Enrollment ID
I20060113000395
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for KENNETH TERRELL (MD)

  • 4410 MEDICAL DR

    SUITE 440

    SAN ANTONIO, TX 782296306

    Phone: (210) 692-9400

    Fax: (210) 692-9601

    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: 2006-01-13

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
I20060113000395IPulmonary DiseaseTXTBD

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 78229)

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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: 3476688318View full group profile

Reviews

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Frequently asked questions

What NPI should I save for KENNETH TERRELL (MD)?
Save NPI 1164423307 if you need a stable reference for KENNETH TERRELL (MD).
Is KENNETH TERRELL (MD)'s NPI currently valid?
The extract we use shows KENNETH TERRELL (MD) as active.
Does KENNETH TERRELL (MD) list a primary specialty?
If you are matching referrals, note Pulmonary Disease Physician for KENNETH TERRELL (MD). Clinical services aligned with this taxonomy classification.
What location shows for KENNETH TERRELL (MD)?
We surface San Antonio, Texas for KENNETH TERRELL (MD) based on available NPPES addresses.
What if San Antonio, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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