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TERRENCE P GLEASON MD LLC
NPI 1447452214
Specialist in Lake Havasu City, AZ

Active since June 04, 2007
1972 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403(928) 854-6508(928) 854-6206 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Terrence P Gleason Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRENCE P GLEASON MD LLC (NPI 1447452214) is a healthcare organization registered as a specialist in Lake Havasu City, Arizona and active in the NPI registry since June 2007. The organization lists Carrie L Riesdorph, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1447452214
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTERRENCE P GLEASON MD LLC
Location Address1972 MESQUITE AVELake Havasu City, AZ 86403-5729
Mailing Address1972 Mesquite AveLake Havasu City, AZ 86403-5729 · (928) 854-6508 · Fax (928) 854-6206
Phone(928) 854-6508
Fax(928) 854-6206
Organization SubpartNo
Authorized OfficialCarrie L RiesdorphOffice Manager · (928) 854-6508
Enumeration DateJune 4, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1447452214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AZ · 24347
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1972 MESQUITE AVE, Lake Havasu City, AZ 86403
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terrence P Gleason Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Terrence P Gleason MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Terrence Gleason, M.D.
Urology
NPI 1740263953
1810 MESQUITE AVE
Lake Havasu City, AZ 86403
(928) 855-8515
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terrence P Gleason MD LLC's NPI number?

The NPI number for Terrence P Gleason MD LLC is 1447452214. It was assigned to this organization in the NPPES registry on June 4, 2007.

Where is Terrence P Gleason MD LLC located?

Terrence P Gleason MD LLC is located at 1972 Mesquite Ave, Lake Havasu City, AZ 86403. The listed phone number is (928) 854-6508.

What is Terrence P Gleason MD LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Terrence P Gleason MD LLC enrolled in Medicare?

Yes. Terrence P Gleason MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Terrence P Gleason MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Terrence P Gleason MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Terrence P Gleason MD LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.