Individual provider Active NPI

Theodore K. Gregorius, M.D.

  • Orthopaedic Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1013950450
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A84930 Issued in CA
Practice address
360 San Miguel Dr Ste 701
Newport Beach, CA 92660-5927
Phone
(949) 759-3600
Fax
(949) 759-5017
NPI assigned
Jun 14, 2006
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A84930 CA Primary

Addresses

Primary practice location

360 San Miguel Dr Ste 701
Newport Beach, CA 92660-5927

Mailing address

360 San Miguel Dr Ste 701
Newport Beach, CA 92660-5927
Phone (949) 759-3600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gregoriusma@calortho.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000214 CA Practitioner - Orthopedic Surgery 8921029984 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loma Linda University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

25455 Barton Rd
Loma Linda, CA 92354-3128
Phone (909) 558-2808

360 San Miguel Dr
Suite 701
Newport Beach, CA 92660-5927
Phone (949) 759-3600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A84930CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Theodore K Gregorius MD Inc Orthopaedic Surgery CurrentSince Sep 10, 2018 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Oct 16, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Orthopaedic Surgery CurrentSince Oct 16, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Orthopaedic Surgery Past Accepting new patients

Locations

900 E Washington St
Ste 200
Colton, CA 92324
Phone (909) 882-5867

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
Ste 1500
Loma Linda, CA 92354
Phone (909) 558-2802

11406 Loma Linda Dr
Ste 300
Loma Linda, CA 92354
Phone (909) 558-6277

25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

360 San Miguel Dr
Ste 701
Newport Beach, CA 92660
Phone (949) 759-3600

399 E 21st St
Sn Bernrdno, CA 92404
Phone (909) 882-2266

Interoperability endpoints

  • Direct secure messaging: ted.gregorius@1174.chartlogic.direct-ci.com
  • Direct secure messaging: theodore.gregorius.1@2241.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1013950450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 701",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605927",
            "telephone_number": "949-759-3600",
            "fax_number": "909-881-7593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SAN MIGUEL DR STE 701",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605927",
            "telephone_number": "949-759-3600",
            "fax_number": "949-759-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORIUS",
        "first_name": "THEODORE",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A84930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregoriusma@calortho.org",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "360 San Miguel Dr Ste 701",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926605927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.