TED MASAO IKARI CRNA
NPI 1659093342
Nurse Anesthetist, Certified Registered in Alpharetta, GA

Active since September 19, 2022PECOS EnrolledAccepts Medicare Assignment
2575 NORTHWINDS PKWY, ALPHARETTA, GA 30009(808) 255-4455 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ted Masao Ikari Crna NPPES

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

TED MASAO IKARI CRNA (NPI 1659093342) is an individual nurse anesthetist, certified registered in Alpharetta, Georgia, licensed in Ohio (145029) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Lovelace Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659093342
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTED MASAO IKARICredential: CRNA
Location Address2575 NORTHWINDS PKWYAlpharetta, GA 30009-2232
Mailing AddressPo Box 129Honomu, HI 96728-0129 · (808) 255-4455
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 19, 2022
NPPES CertifiedSeptember 19, 2022
✔ NPI 1659093342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OH · 145029
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2575 NORTHWINDS PKWY, Alpharetta, GA 30009

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ted Masao Ikari Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274904206
PECOS Enrollment IDI20241126004440
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Ted Ikari reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1124 W 21ST
Andover, KS 67002
  • Reassigned Medicare billing, Kansas enrollment
  • 63 clinicians in this Medicare group
Anesthesiology
601 DR MARTIN LUTHER KING JR AVE NE
Albuquerque, NM 87102
  • Reassigned Medicare billing, New Mexico enrollment
  • 383 clinicians in this Medicare group
Orthopaedic Surgery
111 S 11TH AVE STE 320
Yakima, WA 98902
  • Reassigned Medicare billing, Washington enrollment
  • 565 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
111 services104 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
51 services50 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
46 services46 patients
Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope 00732
This procedure involves using an endoscope, a flexible tube with a light and camera, to examine or treat your gallbladder, pancreas, or liver. Anesthesia is administered to ensure you're comfortable and pain-free during the procedure.
21 services20 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lovelace Medical Center

Acute Care Hospitals · Albuquerque, NM
3/5 CMS rating
OwnershipProprietary
CMS Certification Number320009
Location601 Dr Martin Luther King Jr Ave NEAlbuquerque, NM 87102 · Bernalillo County
Emergency services

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Lovelace Westside Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipProprietary
CMS Certification Number320074
Location10501 Golf Course Road NWAlbuquerque, NM 87114 · Bernalillo County
Emergency services

Yakima Valley Memorial

Acute Care Hospitals · Yakima, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500036
Location2811 Tieton DriveYakima, WA 98902 · Yakima County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30009 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
2575 NORTHWINDS PKWY
ALPHARETTA, GA 30009
Plastic Surgery
2575 NORTHWINDS PKWY
ALPHARETTA, GA 30009
Physician Assistant (Surgical)
2575 NORTHWINDS PKWY
ALPHARETTA, GA 30009
Physician Assistant
2575 NORTHWINDS PKWY
ALPHARETTA, GA 30009
Psychiatry & Neurology (Psychiatry)
2575 NORTHWINDS PKWY
ALPHARETTA, GA 30009

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 Ted Ikari's NPI number?

The NPI number for Ted Ikari is 1659093342. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Where is Ted Ikari located?

Ted Ikari practices at 2575 Northwinds Pkwy, Alpharetta, GA 30009. The listed phone number is (808) 255-4455.

What is Ted Ikari's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Ted Ikari enrolled in Medicare?

Yes. Ted Ikari is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ted Ikari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ted Ikari reassigns Medicare benefits to 3 organizations: Kansas Medical Center LLC (Andover, KS), Main Street Anesthesia Of New Mexico, LLC (Albuquerque, NM) and Yakima Valley Memorial Physicians (Yakima, WA). Each 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 Ted Ikari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ted Ikari accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Premera Blue Cross Blue Shield of Alaska list Ted Ikari as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ted Ikari affiliated with any hospitals?

According to CMS data, Ted Ikari is affiliated with Lovelace Medical Center, Lovelace Women's Hospital, Lovelace Westside Hospital and Yakima Valley Memorial.

When was this NPI record last updated?

The NPPES record for Ted Ikari was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.