Active NPI
Robert J. Terlato, M.D.
- Cardiovascular Disease Physician
- Gardner, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 73621
- Practice address
- 250 Green St
Suite 110
Gardner, MA 01440-1396 - Phone
- (978) 630-5020
- Fax
- (978) 630-5029
- NPI assigned
- Oct 31, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 73621 | MA | |
| Cardiovascular Disease Physician | 207RC0000X | 73621 | MA | Primary |
Addresses
Primary practice location
250 Green St
Suite 110
Gardner, MA 01440-1396
Mailing address
250 Green St
Suite 110
Gardner, MA 01440-1396
Phone (978) 630-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3079830 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73621 | MA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Heywood Memorial Hospital | Current | Accepting new patients | |
| Athol Memorial Hospital Incorporated | Cardiovascular Disease | Current | Accepting new patients |
| Heywood Medical Group Inc. | Internal Medicine | Current | Accepting new patients |
| Henry Heywood Memorial Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Heywood Affiliated Medical Group Inc. | Current | Accepting new patients | |
| Regional Home Care Inc. | Current | Accepting new patients |
Locations
2033 Main St
Athol, MA 01331
Phone (978) 249-1295
242 Green St
Gardner, MA 01440
Phone (978) 258-4734
250 Green St
Gardner, MA 01440
Phone (978) 630-5050
250 Green St
Ste 110
Gardner, MA 01440
Phone (978) 630-5030
Organizations & group practices 6
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.
-
- Critical Access Hospital
- Athol, MA
- NPI 1336120047
Cardiovascular Disease
-
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
Cardiovascular Disease
-
- Psychiatric Hospital Unit
- Gardner, MA
- NPI 1457685299
-
- Urgent Care Clinic/Center
- Gardner, MA
- NPI 1215304589
-
- Oxygen Equipment & Supplies (DME)
- Leominster, MA
- NPI 1396851184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303430400000",
"number": "1790776730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 GREEN ST",
"address_2": "SUITE 110",
"city": "GARDNER",
"state": "MA",
"postal_code": "014401396",
"telephone_number": "978-630-5020",
"fax_number": "978-630-5029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 GREEN ST",
"address_2": "SUITE 110",
"city": "GARDNER",
"state": "MA",
"postal_code": "014401396",
"telephone_number": "978-630-5020",
"fax_number": "978-630-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERLATO",
"first_name": "ROBERT",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2011-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "73621",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "73621",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3079830",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gardner, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.