Active NPI
Denis A. Tereb, M.D.
- Surgery Physician
- Warwick, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD18401
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013267 | Medicaid | VT | |
| 064505 | Other | CT | CT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, RI, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064505 | CT | MD | Specialist |
| MD18401 | RI | MD | Surgery Physician |
| 0420011264 | VT | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Affinity Physicians LLC | Current | Accepting new patients | |
| Mainegeneral Medical Center | Surgery | Current | Accepting new patients |
| Trinity Health of New England Provider Network Organization Inc | Current | Accepting new patients | |
| Stamford Health Medical Group Inc | Current | Accepting new patients | |
| Affinity Physicians LLC. | Surgery | Current | Accepting new patients |
| Day Kimball Medical Group Inc | Surgery | Current | Accepting new patients |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Silver Spring Health Care Management, Inc. | Surgery | Current | Accepting new patients |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Connecticut - TCS | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current | Accepting new patients | |
| Silver Spring Health Care Management, Inc. | Specialist | Current | 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
- denis.tereb.1@1694.direct.athenahealth.com
- denis.tereb.1@1972.direct.athenahealth.com
- denis.tereb@hca6.eclinicaldirectplus.com
- dtereb24993@stamfordhealth.direct-ci.com
- dtereb882008@direct.mmc.mainehealth.org
- https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4
- 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.
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1669423380
-
dba Trinity Health Of New England Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1003882812
-
dba SCMG Surgery
- Surgery Physician
- Wakefield, RI
- NPI 1619157468
-
- Internal Medicine Physician
- Manchester, CT
- NPI 1831712256
-
dba MaineHealth Lincoln Hospital
- Critical Access Hospital
- Damariscotta, ME
- NPI 1912094806
-
- General Practice Physician
- Stamford, CT
- NPI 1154633980
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Anesthesiology Physician
- Providence, RI
- NPI 1053038471
-
dba SCMG Nursery
- Pediatrics Physician
- Wakefield, RI
- NPI 1992224497
Specialist
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1205056371
-
- General Acute Care Hospital
- Putnam, CT
- NPI 1649243478
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
- Elizabeth Ann Tegan, M.S.R.N.C.S.
- Stephanie B. Teixeira, RN, CDOE
- Stacey Tenbrink, LMHC
- Tender Loving Care Health Care Services of New England, LLC (Amedisys Home Health Care)
- Jo-Ann Tente, RN
- Melissa Marie Terra
- Americo Nicholas Testa, DC
- Chelsea Tetreault, DPT
- Jennifer Thai
- Ashish Ramesh Thakkar, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.