Active NPI
Theodore K. Gregorius, M.D.
- Orthopaedic Surgery Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A84930
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A84930 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Theodore K Gregorius MD Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Orthopaedic Surgery | Current | 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
- ted.gregorius@1174.chartlogic.direct-ci.com
- 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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Orthopaedic Surgery Physician
- Newport Beach, CA
- NPI 1265922397
-
- Orthopaedic Surgery Physician
- Orange, CA
- NPI 1336228832
-
dba Evolve Orthopedics and Spine Institute
- Orthopaedic Surgery of the Spine Physician
- Tustin, CA
- NPI 1972666840
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Orthopaedic Surgery Physician
- Colton, CA
- NPI 1669016499
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1326097056
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
- Special Hospital
- Irvine, CA
- NPI 1982927877
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.