THOMAS TERENZI DO
NPI 1922001940
Internal Medicine - Rheumatology in Middletown, CT

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
90 S MAIN ST, MIDDLETOWN, CT 06457(860) 358-8680(860) 358-8694 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Thomas Terenzi Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS TERENZI DO (NPI 1922001940) is an individual rheumatology provider in Middletown, Connecticut, licensed in Connecticut (041490) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1996).

NPPES Registry Identity

NPI1922001940
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameTHOMAS TERENZICredential: DO
Location Address90 S MAIN STMiddletown, CT 06457-3649
Mailing Address28 Crescent StMiddletown, CT 06457-3654 · (860) 358-6000
Fax(860) 358-8694
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1996
Enumeration DateMay 23, 2005
Last NPPES UpdateFebruary 6, 2026
NPPES CertifiedFebruary 6, 2026
✔ NPI 1922001940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in CT · 041490
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
90 S MAIN ST, Middletown, CT 06457

Secondary Practice Location 1

Location 11000 Asylum Ave, Ste 2112Hartford, CT 06105-1719 · Phone (860) 714-4749 · Fax (860) 714-8439

Other Identifiers 1

Medicaid001414903CT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Terenzi Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870788847
PECOS Enrollment IDI20101116000882
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Thomas Terenzi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Family
80 S MAIN ST
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 178 clinicians in this Medicare group
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
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.
199 services123 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
103 services70 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
24 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
90 S MAIN ST
MIDDLETOWN, CT 06457
Family Medicine
90 S MAIN ST, FAMILY PRACTICE GROUP
MIDDLETOWN, CT 06457
Student in an Organized Health Care Education/Training Program
90 S MAIN ST
MIDDLETOWN, CT 06457
Student in an Organized Health Care Education/Training Program
90 S MAIN ST
MIDDLETOWN, CT 06457
Family Medicine
90 S MAIN ST
MIDDLETOWN, CT 06457
Nurse Practitioner (Family)
90 S MAIN ST
MIDDLETOWN, CT 06457
Obstetrics & Gynecology
90 S MAIN ST
MIDDLETOWN, CT 06457
Student in an Organized Health Care Education/Training Program
90 S MAIN ST
MIDDLETOWN, CT 06457

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Terenzi's NPI number?

The NPI number for Thomas Terenzi is 1922001940. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Thomas Terenzi located?

Thomas Terenzi practices at 90 S Main St, Middletown, CT 06457. The listed phone number is (860) 358-8680.

What is Thomas Terenzi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Thomas Terenzi enrolled in Medicare?

Yes. Thomas Terenzi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Thomas Terenzi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Terenzi reassigns Medicare benefits to 2 organizations: Middlesex Hospital (Middletown, CT) and Trinity Health Of New England Provider Network Organization Inc (Hartford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Terenzi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Terenzi accept?

Health plans from Anthem Blue Cross and Blue Shield list Thomas Terenzi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Terenzi was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.