Theodora Saddoris, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

01033704A Issued in IN

Practice address

2753 Fox Pointe Dr
Columbus, IN 47203-3224

Phone

(812) 376-7824

Fax

(812) 378-8390

NPI assigned

May 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN, NV2 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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• 5Health LLC

  • Clinic/Center
  • Columbus, IN
  • NPI 1881463552
  Medicare reassignment NPD
• Wekare Medical Center

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1184373003
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1245280536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 FOX POINTE DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033224",
            "telephone_number": "812-376-7824",
            "fax_number": "812-378-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 FOX POINTE DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033224",
            "telephone_number": "812-376-7824",
            "fax_number": "812-378-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADDORIS",
        "first_name": "THEODORA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01033704A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000086963",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "003640",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Rust, RBT
• RX Enterprises
• Joseph Lee Ryan, MD
• S.O.a.R., LLC
• Sabra Midwest Operations VII LLC
• Ashleigh Sagesse
• Shobha Sahi, MD
• Chadi G Saifan, M.D.
• Saint Peter'S Lutheran Church
• Tracy Lynn Salinas, MD

• Internal Medicine Physician in Columbus, IN
• Providers in Columbus, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.