Active NPI
Theodore Tsomides, MD, PHD
- Hospitalist Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 200001625
- Practice address
- 3024 New Bern Ave
Raleigh, NC 27610-1247 - Phone
- (919) 350-2800
- Fax
- (919) 350-0225
- NPI assigned
- Jan 5, 2006
- 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 |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 200001625 | NC | Primary |
Addresses
Primary practice location
3024 New Bern Ave
Raleigh, NC 27610-1247
Mailing address
2920 Highwoods Blvd
Raleigh, NC 27604-0010
Phone (877) 498-4490
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130F7 | Other | BLUE CROSS BLUE SHIELD | |
| 89130F7 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ttsomides7141@directHISP.wakemed.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Wakemed Faculty Practice Plan | Hospitalist | Past | Accepting new patients |
| Rex Hospital, Inc. | Past | Accepting new patients | |
| Wake Specialty Physicians, LLC | Past | Accepting new patients |
Locations
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318
10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630
2920 Highwoods Blvd
Raleigh, NC 27604
3024 New Bern Ave
Ste 300
Raleigh, NC 27610
Phone (919) 350-8228
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
Interoperability endpoints
- ttsomides7141@directhisp.wakemed.org
Organizations & group practices 6
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.
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- NPI 1821472572
-
- Surgery Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1285612754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 HIGHWOODS BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276040010",
"telephone_number": "877-498-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3024 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101247",
"telephone_number": "919-350-2800",
"fax_number": "919-350-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSOMIDES",
"first_name": "THEODORE",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2023-03-07",
"certification_date": "2021-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "200001625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "130F7",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89130F7",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ttsomides7141@directHISP.wakemed.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "xml",
"address_1": "3024 New Bern Ave",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276101247",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.