DEANA MARIE THEROUX MD
NPI 1134200033
Pediatrics - Developmental - Behavioral Pediatrics in Fall River, MA
NPI Status: Active since October 18, 2006
Contact Information
795 MIDDLE ST
FALL RIVER, MA
ZIP 02721
Phone: (508) 235-5285
Fax: (508) 678-6905
- Individual
- Female
- Years of Experience 30
- Pediatrics
- Developmental - Behavioral Pediatrics
- May Accept Medicare Approved Payment
- PECOS Enrolled
About DEANA THEROUX
This page provides the complete NPI Profile along with additional information for Deana Theroux, a pediatrician established in Fall River, Massachusetts with a medical specialization in Pediatrics, focusing in developmental - behavioral pediatrics and more than 30 years of experience. She graduated from Warren Alpert Medical School Of Brown University in 1996. The healthcare provider is registered in the NPI registry with number 1134200033 assigned on October 2006. The practitioner's primary taxonomy code is 2080P0006X with license number 235054 (MA). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1134200033
- Provider Name
- DEANA MARIE THEROUX MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 795 MIDDLE ST FALL RIVER, MA 02721
- Location Phone
- (508) 235-5285
- Location Fax
- (508) 678-6905
- Mailing Address
- 795 MIDDLE ST FALL RIVER, MA 02721
- Mailing Phone
- (508) 235-5285
- Mailing Fax
- (508) 678-6905
- Medical School Name
- WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
- Graduation Year
- 1996
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-18-2006
- Last Update Date
- 08-11-2009
- Code Navigator
A pediatrician like Deana Theroux is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Developmental - Behavioral Pediatrics
- Taxonomy Code
- 2080P0006X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 235054
- License State
- MA
- Taxonomy Description
- A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 2003-00716 (NC) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 891347G | MEDICAID (05) | NC | |
| H02939 | MEDICARE UPIN (02) | NC |
Medicare Participation & PECOS Enrollment Status
Deana Theroux is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Deana Theroux is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 42370421
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20081114000317
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134200033, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FALL RIVER, MA 02721
FALL RIVER, MA 02721
FALL RIVER, MA 02721
FALL RIVER, MA 02721
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134200033, enumerated as an "individual" on October 18, 2006.
The provider is located at 795 MIDDLE ST FALL RIVER, MA 02721 and the phone number is (508) 235-5285.
Pediatrics with taxonomy code 2080P0006X and a focus in Developmental - Behavioral Pediatrics.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
