Individual provider Active NPI

Theodore G Belitsos, M.D.

  • Anesthesiology Physician
  • San Antonio, TX
National Provider Identifier
1073525457
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
M5629 Issued in TX
Practice address
4242 Medical Dr
Suite 3100
San Antonio, TX 78229-5640
Phone
(210) 477-9555
Fax
(210) 614-2180
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X M5629 TX Primary

Addresses

Primary practice location

4242 Medical Dr
Suite 3100
San Antonio, TX 78229-5640

Mailing address

PO Box 34717
San Antonio, TX 78265-4717
Phone (210) 477-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, TX, WA, SD4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050607001023 ME Practitioner - Anesthesiology 4789573395 Reassigns benefits to 1 organization
I20070627000481 TX Practitioner - Anesthesiology 4789573395 Reassigns benefits to 2 organizations
I20240607000007 WA Practitioner - Anesthesiology 4789573395 Reassigns benefits to 1 organization
I20251029002887 SD Practitioner - Anesthesiology 4789573395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians
Avera St LukesGroup PAC ID 6406764927, 164 clinicians
Allen Anesthesia AssociatesGroup PAC ID 2264477140, 94 clinicians

Practice addresses (Care Compare)

15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321

305 S State St
Aberdeen, SD 57401-4527
Phone (605) 622-5100

4510 Medical Ctr Dr
Suite 211
McKinney, TX 75069-1602
Phone (469) 541-1600

8 E US Hwy 12
Groton, SD 57445-2176
Phone (605) 397-4242

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera St. Lukes CurrentSince Sep 1, 2025 Accepting new patients
Avera St. Luke'S Current Accepting new patients
Austin Anesthesiology Group PLLC Anesthesiology CurrentSince May 20, 2023 Accepting new patients
Allen Anesthesia Associates CurrentSince Jul 17, 2023 Accepting new patients
Oregon Anesthesiology Group PC Anesthesiology CurrentSince May 7, 2024 Accepting new patients
Austin Anesthesiology Group, PLLC Anesthesiology CurrentSince May 20, 2023 Accepting new patients
York Hospital CurrentSince Dec 1, 2025 Accepting new patients
St. Mary'S Anesthesia Associates, P.a. Anesthesiology Past Accepting new patients

Locations

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

707 SW Washington St
Ste 700
Portland, OR 97205

906 W McDermott Dr
Allen, TX 75013
Phone (918) 812-4755

1105 Central Expy N
Ste 210
Allen, TX 75013
Phone (972) 747-4646

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1201 W Louis Henna Blvd
Austin, TX 78681
Phone (512) 248-7000

4401 Coit Rd
Ste 100
Frisco, TX 75035
Phone (214) 619-0120

4510 Medical Center Dr
Ste 211
McKinney, TX 75069
Phone (469) 541-1600

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1073525457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34717",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782654717",
            "telephone_number": "210-477-9555",
            "fax_number": "210-614-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR",
            "address_2": "SUITE 3100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295640",
            "telephone_number": "210-477-9555",
            "fax_number": "210-614-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELITSOS",
        "first_name": "THEODORE",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "M5629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.