Terry Polon Prince, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD12034 Issued in RI

Practice address

250 Toll Gate Rd
Warwick, RI 02886-4411

Phone

(401) 921-2900

Fax

(401) 921-2366

NPI assigned

Apr 13, 2006

Last updated

Sep 11, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, VA2 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 2

Specialty

Diagnostic Radiology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
• Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
• Ascension River District Hospital Hospital, East China, MI, CCN 230241

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tprince1145088@direct.hfhs.org

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.

• Eastpointe Radiologists, P.C.

  dba Grosse Pointe Physicians Xray Center, PC

  • Diagnostic Radiology Physician
  • Detroit, MI
  • NPI 1881642056

  FL

  Medicare reassignment Care Compare group NPD
• Bath County Community Hospital

  dba Bath Community Hospital

  • Critical Access Hospital
  • Hot Springs, VA
  • NPI 1417989278
  Medicare reassignment NPD
• Highlands Hospital and Health Center

  dba Highlands Hospital Physicians

  • Family Medicine Physician
  • Connellsville, PA
  • NPI 1447443957

  FL

  Medicare reassignment NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414

  Diagnostic Radiology, FL

  Medicare reassignment NPD
• University of Virginia Imaging, LLC

  dba UVa Imaging

  • Diagnostic Radiology Physician
  • Charlottesville, VA
  • NPI 1720233596
  Medicare reassignment NPD
• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  Medicare reassignment NPD
• Bath County Community Hospital

  dba Bath Community Physicians Group Riverside

  • Rural Health Clinic/Center
  • Covington, VA
  • NPI 1922632298
  NPD
• Highlands Hospital and Health Center

  dba Penn Highlands Connellsville

  • Internal Medicine Physician
  • Connellsville, PA
  • NPI 1518680164
  NPD
• University of Virginia Imaging, LLC

  dba UVA Imaging, Zion Crossroads

  • Radiology Clinic/Center
  • Zion Crossroads, VA
  • NPI 1083055842

  Diagnostic Radiology

  NPD
• University of Virginia Imaging, LLC

  dba UVA Imaging Ivy Mountain

  • Radiology Clinic/Center
  • Charlottesville, VA
  • NPI 1700545928

  Diagnostic Radiology

  NPD
• Alliance ENT

  • Otolaryngology Physician
  • Providence, RI
  • NPI 1891719563
  NPD (past)
• Rhode Island Medical Imaging Inc

  • Diagnostic Radiology Physician
  • Providence, RI
  • NPI 1942376033
  NPD (past)

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

• Henry Ford Health Macomb Oakland Hospital

  dba St. John Macomb Oakland Hospital-Warren Campus

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1124099858
  Care Compare affiliation
• Henry Ford Health Macomb Oakland Hospital

  dba St John Macomb Oakland - Oakland Center

  • General Acute Care Hospital
  • Madison Heights, MI
  • NPI 1215139233
  Care Compare affiliation
• Henry Ford Health River District Hospital

  • General Acute Care Hospital
  • East China, MI
  • NPI 1619941333
  Care Compare affiliation
• Henry Ford Health St. John Hospital

  dba St John Hospital and Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  Care Compare affiliation

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1467416933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864411",
            "telephone_number": "401-921-2900",
            "fax_number": "401-921-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864411",
            "telephone_number": "401-921-2900",
            "fax_number": "401-921-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "TERRY",
        "middle_name": "POLON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "MD12034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Warwick, RI
• Providers in Warwick, RI by specialty
• Diagnostic Radiology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.

Verify at the official NPI Registry.