William Wesley Theodorou, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036.130614 Issued in IL

Practice address

1653 W Congress Pkwy
Chicago, IL 60612-3833

Phone

(312) 942-5495

NPI assigned

Apr 15, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. William Wesley Potts III Former name

Medicare fee-for-service enrollment

Enrolled in CA, IN, MT, WY, AZ5 enrollments

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 5

Specialty

Diagnostic Radiology

Education

Indiana Medical College, School of Medicine of Purdue University, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Imaging Associates of Idaho Falls IncGroup PAC ID 7618876590, 66 clinicians

N W Indiana Radiology Services, PCGroup PAC ID 9537065180, 15 clinicians

Advanced Imaging Center LLCGroup PAC ID 5496714305, 12 clinicians

Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians

Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians

Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Mountain Radiology IncGroup PAC ID 4688666761, 77 clinicians

Silicon Valley Diagnostic Imaging IncGroup PAC ID 5496838518, 78 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
• Franciscan Health Munster Hospital, Munster, IN, CCN 150165
• Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015
• Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
• Uci Health-Orange Hospital, Orange, CA, CCN 050348

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 46)

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

• Advanced Imaging Center LLC

  • Radiology Clinic/Center
  • Schererville, IN
  • NPI 1033112990
  Medicare reassignment Care Compare group NPD
• Golden State Imaging Associates Inc

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1144872052

  IN

  Medicare reassignment Care Compare group NPD
• Imaging Associates of Indiana, PC

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1699072611
  Medicare reassignment Care Compare group NPD
• Medical Imaging Associates of Idaho Falls, Inc

  • Diagnostic Radiology Physician
  • Pocatello, ID
  • NPI 1740225531

  IN, MT, WY

  Medicare reassignment Care Compare group NPD
• Mountain Radiology, Inc

  • Diagnostic Radiology Physician
  • Grand Junction, CO
  • NPI 1093823742

  IN

  Medicare reassignment Care Compare group NPD
• N W Indiana Radiology Services, PC

  • Body Imaging Physician
  • Merrillville, IN
  • NPI 1386693364
  Medicare reassignment Care Compare group NPD
• Silicon Valley Diagnostic Imaging, Inc.

  • Radiology Clinic/Center
  • Mountain View, CA
  • NPI 1629265806

  Diagnostic Radiology, IN

  Medicare reassignment Care Compare group NPD
• Sonoran Radiology LTD

  • Vascular & Interventional Radiology Physician
  • Mesa, AZ
  • NPI 1033745708

  Diagnostic Radiology, IN

  Medicare reassignment Care Compare group NPD
• Specialists in Medical Imaging, SC

  • Diagnostic Radiology Physician
  • Olympia Fields, IL
  • NPI 1841687951

  IN

  Medicare reassignment NPD
• Associated Valley Radiologists LTD

  • Diagnostic Radiology Physician
  • Glendale, AZ
  • NPI 1932683257

  IN

  Medicare reassignment NPD
• El Camino Health Medical Network, LLC

  • Multi-Specialty Clinic/Center
  • San Jose, CA
  • NPI 1164880761
  Medicare reassignment NPD
• Memorial Hospital of Carbon County

  • Critical Access Hospital
  • Rawlins, WY
  • NPI 1710298757
  Medicare reassignment NPD

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

• Desert Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Palm Springs, CA
  • NPI 1104856095
  Care Compare affiliation
• Franciscan Health Michigan City

  • General Acute Care Hospital
  • La Porte, IN
  • NPI 1679336747
  Care Compare affiliation
• Franciscan Health Michigan City

  • General Acute Care Hospital
  • Michigan City, IN
  • NPI 1710051941
  Care Compare affiliation
• Franciscan Health Munster

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1427493246
  Care Compare affiliation
• The Methodist Hospitals, Inc

  • General Acute Care Hospital
  • Gary, IN
  • NPI 1467504555
  Care Compare affiliation
• University of California Irvine

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150
  Care Compare affiliation

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1063686624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODOROU",
        "first_name": "WILLIAM",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125.055740",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.130614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "POTTS",
            "middle_name": "WESLEY",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Theodore Polizos DPM Comprehensive Podiatric Medical Services, LTD.
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• Irene T. Theodore, DDS
• Constantine Theodoropoulos, D.D.S.
• Maria E Theodorou, M.D.
• Gia Theodosiadis, ED.S
• Therapeds Intervention Services, Inc
• Therapeutic Arts Counseling, PLLC
• Therapeutic Counseling Services
• Therapeutic Endoscopy Associates PC

• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.

Verify at the official NPI Registry.