Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Terry Wayne Fonville, MD

Individual provider Internal Medicine Physician · NPI 1154488831

Mr. Terry Wayne Fonville, MD is an Internal Medicine in New York, New York. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1969, 57 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
57
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

99 University Pl Ste 201
New York, NY 10003-4528
Phone: (212) 222-7516
Fax: (212) 529-6222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 107804 (NY)

Record details

NPI number1154488831
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 2, 2007
Last updated in NPPESJuly 31, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1969 (57 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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