Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ted Masao Ikari, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1659093342

Ted Masao Ikari, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Alpharetta, Georgia. Qualified in 2022, 4 years ago. Practices with Main Street Anesthesia of New Mexico, LLC, a 228-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2022
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2575 Northwinds Pkwy
Alpharetta, GA 30009-2232
Phone: (808) 255-4455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 145029 (OH)

Record details

NPI number1659093342
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedSeptember 19, 2022
Last updated in NPPESSeptember 19, 2022
Certification dateSeptember 19, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Main Street Anesthesia Of New Mexico, Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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