JAVIER IGNACIO PONCE TERASHIMA MD
NPI 1770006850
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since July 20, 2017PECOS EnrolledAccepts Medicare Assignment
11100 EUCLID AVE, CLEVELAND, OH 44106(216) 844-8447 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2021, Jul 20, 2017 (2 updates tracked since 2017).

About Javier Ignacio Ponce Terashima Md NPPES

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

JAVIER IGNACIO PONCE TERASHIMA MD (NPI 1770006850) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1770006850
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAVIER IGNACIO PONCE TERASHIMACredential: MD
Location Address11100 EUCLID AVECleveland, OH 44106-1716
Mailing Address1750 Hampshire Ln Apt 11Cleveland Heights, OH 44106-2518
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 20, 2017
Last NPPES UpdateMay 26, 20212 updates tracked since enumeration
NPPES CertifiedMay 26, 2021
✔ NPI 1770006850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11100 EUCLID AVE, Cleveland, OH 44106

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

Javier Ignacio Ponce Terashima Md 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 ID3870864176
PECOS Enrollment IDI20240819003343
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 Reassignment

Medicare enrollment records show Javier Ponce Terashima reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric Hospital
34 PARK STREET
New Haven, CT 06790
  • Reassigned Medicare billing, Connecticut enrollment
  • 127 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.

Other Providers at the Same Location NPPES 20

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

Ophthalmology
11100 EUCLID AVE
CLEVELAND, OH 44106
Nurse Practitioner (Pediatrics)
11100 EUCLID AVE
CLEVELAND, OH 44106
General Acute Care Hospital (Children)
11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106
Anesthesiology
11100 EUCLID AVE
CLEVELAND, OH 44106
Student in an Organized Health Care Education/Training Program
11100 EUCLID AVE
CLEVELAND, OH 44106

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 Javier Ponce Terashima's NPI number?

The NPI number for Javier Ponce Terashima is 1770006850. It was assigned to this individual provider in the NPPES registry on July 20, 2017.

Where is Javier Ponce Terashima located?

Javier Ponce Terashima practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-8447.

What is Javier Ponce Terashima's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Javier Ponce Terashima enrolled in Medicare?

Yes. Javier Ponce Terashima 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 organization bills Medicare for Javier Ponce Terashima's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Javier Ponce Terashima reassigns Medicare benefits to State Of Connecticut (New Haven, CT). The 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 Javier Ponce Terashima's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Javier Ponce Terashima was last updated on May 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.