Individual provider Active NPI

Theodoros Katsichtis, M.D

  • Surgery Physician
  • Dover, DE
National Provider Identifier
1275875528
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C1-0023815 Issued in DE
Practice address
724 S New St
Dover, DE 19904-3540
Phone
(302) 674-4070
Fax
(302) 672-2315
NPI assigned
Mar 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C1-0023815 DE Primary

Addresses

Primary practice location

724 S New St
Dover, DE 19904-3540

Mailing address

640 S. State St
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 674-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20200729003287 DE Practitioner - General Surgery 5799925038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Johns Hopkins University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, Inc 399 clinicians

Practice addresses (Care Compare)

724 S New St
Bayhealth General Surgery Dover
Dover, DE 19904-3540
Phone (302) 674-4070

Hospital & facility affiliations

  • Bayada Home Health Care at Bayhealth Home health agency, Dover, DE, CCN 087024
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)12
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux25
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0023815DEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc Surgery CurrentSince Aug 31, 2020 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Aug 31, 2020 Accepting new patients
Bayhealth Medical Center, Inc. Past Accepting new patients
Bayhealth Medical Center, Inc Surgery Past Accepting new patients

Locations

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

640 S State St
Dover, DE 19901
Phone (302) 744-4700

724 S New St
Dover, DE 19904
Phone (302) 674-4070

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 3

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1275875528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE ST",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-674-4070",
            "fax_number": "302-672-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S NEW ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043540",
            "telephone_number": "302-674-4070",
            "fax_number": "302-672-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSICHTIS",
        "first_name": "THEODOROS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "DE",
            "license": "C1-0023815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.