Individual provider Active NPI

Terence Noah Mukonje

  • Hospitalist Physician
  • Greenville, SC
National Provider Identifier
1497044705
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
38032 Issued in SC
Practice address
701 Grove Rd FL 5
Greenville, SC 29605-4210
Phone
(864) 455-4411
NPI assigned
Apr 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 38032 SC Primary
Internal Medicine Physician 207R00000X 01075240A IN
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

701 Grove Rd FL 5
Greenville, SC 29605-4210

Mailing address

1 Independence PT Ste 212
Greenville, SC 29615-4536
Phone (864) 797-6311

Other practice location 1

2001 W 86th St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

Other identifiers 1

IdentifierTypeStateIssuer
201338240MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, IN, MN, OH, ME, NC6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20150617000715 SC Practitioner - HospitalistPractitioner - Internal Medicine 0547571515 Reassigns benefits to 4 organizations
I20160114001728 IN Practitioner - Internal Medicine 0547571515 Reassigns benefits to 4 organizations
I20160225000969 MN Practitioner - Emergency Medicine 0547571515
I20161014002146 OH Practitioner - Internal Medicine 0547571515 Reassigns benefits to 3 organizations
I20161104001279 ME Practitioner - Internal Medicine 0547571515 Reassigns benefits to 3 organizations
I20241008004106 NC Practitioner - Internal Medicine 0547571515 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granville Health SystemGroup PAC ID 1052223757, 78 clinicians

Practice addresses (Care Compare)

1010 College St
Oxford, NC 27565-2507
Phone (919) 690-3237

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

6001 E Broad St
Columbus, OH 43213-1502
Phone (614) 234-6000

Hospital & facility affiliations

  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Granville Health Systems Hospital, Oxford, NC, CCN 340127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38032SCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Physician Services Hospital and Health Care Center Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Granville Health System Hospitalist CurrentSince Sep 4, 2024 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Prisma Health University Medical Group Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Aug 23, 2016 Accepting new patients
Greenville Health System CurrentSince May 1, 2015 Accepting new patients
Hospital Medicine Services of Ohio, Inc. Hospitalist CurrentSince Feb 1, 2017 Accepting new patients
Greenville Health System Current Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Oct 11, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince May 1, 2015 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Dec 1, 2024 Accepting new patients
Granville Health System Current Accepting new patients
Hospital Medicine Services of Maine LLC Hospitalist CurrentSince May 1, 2019 Accepting new patients
Apogee Medical Group Indiana PC Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Sep 20, 2016 Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine CurrentSince Sep 20, 2016 Accepting new patients
Greenville Health System CurrentSince May 1, 2015 Accepting new patients
Hospitalist Physicians of Indiana, PC Internal Medicine CurrentSince Jun 16, 2024 Accepting new patients
Maine Medical Services LLC Internal Medicine CurrentSince May 1, 2019 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Nov 1, 2018 Accepting new patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Nov 10, 2018 Accepting new patients
Prisma Health University Medical Group CurrentSince May 1, 2015 Accepting new patients
Emergency Coverage, LLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Granville Health System CurrentSince Sep 4, 2024 Accepting new patients
Orthopedic Associates of the Lowcountry, LLC Internal Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mount Carmel Health System Past Accepting new patients
Sanford Health of Northern Minnesota Past Accepting new patients

Locations (25 of 33)

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

360 Broadway
Bangor, ME 04401
Phone (207) 262-1703

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

22725 US Highway 76
Clinton, SC 29325
Phone (864) 833-9100

Organizations & group practices 30

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

View all 30

Hospital & facility affiliations 5

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": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1497044705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "864-797-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GROVE RD FL 5",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054210",
            "telephone_number": "864-455-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 W 86th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601902",
            "country_code": "US",
            "telephone_number": "317-338-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKONJE",
        "first_name": "TERENCE",
        "middle_name": "NOAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-07",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "38032",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01075240A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201338240",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.