DR. ROY KIYOHARU TERAMOTO M.D.
NPI 1780780437
Pediatrics in Phoenix, AZ

Q: What is Roy Teramoto's NPI number?

The NPI number for Roy Teramoto is 1780780437. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Roy Teramoto's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Roy Teramoto was last updated on July 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 16, 2006PECOS Enrolled

4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1511(602) 263-1637 Get Directions Write a Review

NPPES record last updated: July 25, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Roy Kiyoharu Teramoto M.d. NPPES

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

DR. ROY KIYOHARU TERAMOTO M.D. (NPI 1780780437) is an individual pediatrics provider in Phoenix, Arizona, licensed in Oklahoma (14222) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780780437

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. ROY KIYOHARU TERAMOTOCredential: M.D.

Location Address4212 N 16TH STPhoenix, AZ 85016-5319

Mailing AddressPo Box 31001-0698Pasadena, CA 91110-0698 · (602) 263-1511 · Fax (602) 263-1637

Phone(602) 263-1511

Fax(602) 263-1637

Sole ProprietorNo

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJuly 25, 2011

✔ NPI 1780780437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OK · 14222

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric NephrologyTaxonomy 2080P0210X · License 14222 (OK)

4212 N 16TH ST, Phoenix, AZ 85016

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Other Identifiers 5

Medicare OSCAR/certification030078AZ

OtherAZ0713430AZ · Bcbsaz

Medicare UPIND47098AZ

Medicaid406993AZ

Medicare PIN8HL464AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roy Kiyoharu Teramoto M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Roy Teramoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

District Medical Group, Inc

3.0 mi

Surgery

2525 E ROOSEVELT ST, MED CLINIC - INFECTIOUS DISEASE
Phoenix, AZ 85008

Reassigned Medicare billing, Arizona enrollment
1,490 clinicians in this Medicare group

NPI 1174856280 (602) 344-1095

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

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 20

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

WENDY RAZO

Registered Nurse (Obstetric, High-Risk)