Individual provider Active NPI

Denis A. Tereb, M.D.

  • Surgery Physician
  • Warwick, RI
National Provider Identifier
1457493751
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD18401 Issued in RI
Practice address
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone
(401) 737-7010
Fax
(401) 738-0013
NPI assigned
Feb 13, 2007
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 064505 CT
Surgery Physician 208600000X MD27045 ME
Surgery Physician 208600000X 0420011264 VT
Surgery Physician 208600000X MD18401 RI Primary

Addresses

Primary practice location

455 Toll Gate Rd
Warwick, RI 02886-2759

Mailing address

15 Westward Rd
Woodbridge, CT 06525-1850
Phone (203) 308-0064

Other practice location 1

15 Westward Rd
woodbridge
Woodbridge, CT 06525-1850
Phone (203) 308-0064

Other practice location 2

24 Miles Center Way
Damariscotta, ME 04543-4067
Phone (207) 563-4252

Other identifiers 2

IdentifierTypeStateIssuer
1013267MedicaidVT
064505OtherCTCT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI, ME3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080719000113 CT Practitioner - General Surgery 7517927882 Reassigns benefits to 5 organizations
I20220617002154 RI Practitioner - General Surgery 7517927882 Reassigns benefits to 2 organizations
I20230531002023 ME Practitioner - General Surgery 7517927882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mainegeneral Medical CenterGroup PAC ID 1254245715, 554 clinicians
Day Kimball Medical Group IncGroup PAC ID 1557514411, 91 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

149 N St
Waterville, ME 04901
Phone (207) 872-1000

320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
064505CTMDSpecialist
MD18401RIMDSurgery Physician
0420011264VTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Oct 21, 2024 Accepting new patients
Mainehealth CurrentSince Oct 13, 2024 Accepting new patients
Affinity Physicians LLC CurrentSince Jul 1, 2022 Accepting new patients
Mainegeneral Medical Center Surgery CurrentSince Jun 9, 2023 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Oct 21, 2024 Accepting new patients
Stamford Health Medical Group Inc CurrentSince Jul 29, 2022 Accepting new patients
Affinity Physicians LLC. Surgery CurrentSince Jul 1, 2022 Accepting new patients
Day Kimball Medical Group Inc Surgery CurrentSince May 1, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Jun 9, 2023 Accepting new patients
Silver Spring Health Care Management, Inc. Surgery CurrentSince Aug 1, 2024 Accepting new patients
Mainegeneral Medical Center Current Accepting new patients
Mainehealth Current Accepting new patients
Hospitalist Medicine Physicians of Connecticut - TCS CurrentSince Sep 17, 2023 Accepting new patients
Mainehealth CurrentSince Oct 13, 2024 Accepting new patients
Mainehealth Current Accepting new patients
Silver Spring Health Care Management, Inc. Specialist CurrentSince Aug 1, 2024 Accepting new patients
Emcare Physician Providers, Inc. Past Accepting new patients
Mainehealth Past Accepting new patients
Saint Francis Care Medical Group, PC Past Accepting new patients
Mobile Emergency Group PC Past Accepting new patients

Locations

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

71 Haynes St
Manchester, CT 06040
Phone (860) 533-2981

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

346 Pomfret St
Putnam, CT 06260
Phone (860) 928-0815

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

5 High Ridge Park
Ste 103
Stamford, CT 06905
Phone (203) 276-4644

24 Miles Center Way
Damariscotta, ME 04543
Phone (207) 563-4250

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

149 North St
Waterville, ME 04901
Phone (207) 622-1959

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

70 Kenyon Ave
Ste 280
Wakefield, RI 02879
Phone (401) 284-1212

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: denis.tereb.1@1694.direct.athenahealth.com
  • Direct secure messaging: denis.tereb.1@1972.direct.athenahealth.com
  • Direct secure messaging: denis.tereb@hca6.eclinicaldirectplus.com
  • Direct secure messaging: dtereb24993@stamfordhealth.direct-ci.com
  • Direct secure messaging: dtereb882008@direct.mmc.mainehealth.org
  • FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1457493751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WESTWARD RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065251850",
            "telephone_number": "203-308-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862759",
            "telephone_number": "401-737-7010",
            "fax_number": "401-738-0013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Westward Rd",
            "address_2": "woodbridge",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "CT",
            "postal_code": "065251850",
            "country_code": "US",
            "telephone_number": "203-308-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Miles Center Way",
            "address_purpose": "LOCATION",
            "city": "Damariscotta",
            "state": "ME",
            "postal_code": "045434067",
            "country_code": "US",
            "telephone_number": "207-563-4252",
            "fax_number": "207-810-4980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEREB",
        "first_name": "DENIS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "064505",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD27045",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VT",
            "license": "0420011264",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "MD18401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013267",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "064505",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.