DR. JOSEPH TERLATO MD
NPI 1770577298
Internal Medicine - Cardiovascular Disease in East Providence, RI

NPI Status: Active since September 12, 2005

Contact Information

900 WARREN AVE
SUITE 401
EAST PROVIDENCE, RI
ZIP 02914
Phone: (800) 508-4908
Fax: (401) 228-6236

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  • Individual
  • Male
  • Internal Medicine
  • Cardiovascular Disease
  • PECOS Enrolled

About JOSEPH TERLATO

This page provides the complete NPI Profile along with additional information for Joseph Terlato, an internist established in East Providence, Rhode Island with a medical specialization in Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1770577298 assigned on September 2005. The practitioner's primary taxonomy code is 207RC0000X with license number MD08852 (RI). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1770577298
Provider Name
DR. JOSEPH TERLATO MD
Gender
Male
Entity Type
Individual
Location Address
900 WARREN AVE SUITE 401 EAST PROVIDENCE, RI 02914
Location Phone
(800) 508-4908
Location Fax
(401) 228-6236
Mailing Address
10 DAVOL SQ SUITE 400 PROVIDENCE, RI 02903
Mailing Phone
(401) 421-4000
Mailing Fax
(401) 228-6236
Is Sole Proprietor?
No
Enumeration Date
09-12-2005
Last Update Date
01-19-2016
Code Navigator

An internist like Joseph Terlato is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
License No.
MD08852
License State
RI
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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.

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.

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
050483739OTHER (01)RIGREAT WEST HEALTH CARE
204531OTHER (01)RIBLUE CHIP
G02556MEDICARE UPIN (02)RI 
64915OTHER (01)RIHARVARD HEALTH PLAN
709004155OTHER (01)RIMEDICARE GROUP
404461OTHER (01)RITUFTS HEALTH PLAN
060032059OTHER (01)RIRAILROAD MEDICARE
20242OTHER (01)RIBCBS OF RI
25-00265OTHER (01)RIUNITED HEALTH CARE
9020242MEDICAID (05)RI 
050483739OTHER (01)RITIN #
710034001OTHER (01)RICIGNA
23677OTHER (01)RINEIGHBORHOOD HEALTH PLAN

Medicare Participation & PECOS Enrollment Status

Joseph Terlato 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: Durable Medical Equipment (DME) 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

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Electrocardiogram (ecg) 2-day continuous with review and report by health care professional

An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. In a 2-day continuous ECG, sensors attached to your chest monitor your heart's rhythm over 48 hours. A healthcare professional then reviews the data to identify any irregularities.

This service was performed 12 times for 12 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 99 times for 79 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 307 times for 180 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 20 times for 15 patients

Heart muscle strain imaging

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

This service was performed 160 times for 154 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

This service was performed 37 times for 35 patients

Ultrasound of heart blood flow, valves and chambers, follow-up

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

This service was performed 51 times for 50 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

This service was performed 52 times for 51 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

This service was performed 166 times for 159 patients

Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report

This procedure involves using ultrasound technology to create images of your heart while you rest, exercise, or undergo drug-induced stress. An ECG continuously monitors your heart's electrical activity. It helps doctors assess heart health and function.

This service was performed 58 times for 57 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02914 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $134.17
  • Minimum New Patient Price $58.57
  • Maximum New Patient Price $177.03
  • Average New Patient Copayment $33.54
  • Minimum New Patient Copayment $14.64
  • Maximum New Patient Copayment $44.25

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.93
  • Minimum Established Patient Price $18.92
  • Maximum Established Patient Price $144.38
  • Average Established Patient Copayment $18.23
  • Minimum Established Patient Copayment $4.73
  • Maximum Established Patient Copayment $36.09

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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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 1770577298, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 1 + 0 + 7 + 1 + 4 + 2 + 1 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1770577298.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
900 WARREN AVE, SUITE 302
EAST PROVIDENCE, RI 02914
Internal Medicine
900 WARREN AVE, SUITE 400
EAST PROVIDENCE, RI 02914
Internal Medicine
900 WARREN AVE, SUITE 400
EAST PROVIDENCE, RI 02914
Pediatrics
900 WARREN AVE, SUITE 200
EAST PROVIDENCE, RI 02914
Pediatrics
900 WARREN AVE, SUITE 200
EAST PROVIDENCE, RI 02914
Internal Medicine
900 WARREN AVE, SUITE 400
EAST PROVIDENCE, RI 02914
Non-Pharmacy Dispensing Site
900 WARREN AVE
EAST PROVIDENCE, RI 02914
Nurse Practitioner
900 WARREN AVE, SUITE 200
EAST PROVIDENCE, RI 02914
Nurse Practitioner (Acute Care)
900 WARREN AVE, SUITE # 302
EAST PROVIDENCE, RI 02914
Nurse Practitioner (Adult Health)
900 WARREN AVE, SUITE 301
EAST PROVIDENCE, RI 02914
Pharmacist
900 WARREN AVE, SUITE 301
EAST PROVIDENCE, RI 02914
Pharmacist
900 WARREN AVE, SUITE 301
EAST PROVIDENCE, RI 02914
Internal Medicine (Pulmonary Disease)
900 WARREN AVE, SUITE 401
EAST PROVIDENCE, RI 02914
Radiology (Diagnostic Radiology)
900 WARREN AVE, SUITE 100
EAST PROVIDENCE, RI 02914
Nurse Practitioner
900 WARREN AVE, SUITE 401
EAST PROVIDENCE, RI 02914
Nurse Practitioner
900 WARREN AVE, SUITE 401
EAST PROVIDENCE, RI 02914
Social Worker (Clinical)
900 WARREN AVE, SUITE 401
EAST PROVIDENCE, RI 02914
Counselor
900 WARREN AVE, SUITE 401
EAST PROVIDENCE, RI 02914
Nurse Practitioner (Acute Care)
900 WARREN AVE, SUITE 401
EAST PROVIDENCE, RI 02914
Internal Medicine (Cardiovascular Disease)
900 WARREN AVE, SUITE 401
EAST PROVIDENCE, RI 02914

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770577298, enumerated as an "individual" on September 12, 2005.

The provider is located at 900 WARREN AVE SUITE 401 EAST PROVIDENCE, RI 02914 and the phone number is (800) 508-4908.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Medicare, Medicaid, Tufts Health Plan, Railroad. Please consult your insurance carrier or call the provider to verify.