Theda Christine Kontis, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

D0040743 Issued in MD

Practice address

1838 Greene Tree Road
Suite #370
Baltimore, MD 21208

Phone

(410) 486-3400

Fax

(410) 486-0092

NPI assigned

Aug 29, 2006

Last updated

Jun 16, 2010By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Plastic and Reconstructive SurgeryAlso: Otolaryngology

Education

Wake Forest University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Papel and Kontis PAGroup PAC ID 6901896174, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Papel and Kontis PA

  • Facial Plastic Surgery Physician
  • Baltimore, MD
  • NPI 1124115860
  Medicare reassignment Care Compare group NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1558479394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE ROAD",
            "address_2": "SUITE #370",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-486-3400",
            "fax_number": "410-486-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 GREENE TREE ROAD",
            "address_2": "SUITE #370",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-486-3400",
            "fax_number": "410-486-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONTIS",
        "first_name": "THEDA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MD",
            "license": "D0040743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144481600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Tian-Jiao Kong
• Gillian Kongnso
• Maximilian Konig, MD
• Anna Konstantinidis
• Klitos Konstantinidis, M.D
• Kontre Wellness & Outpatient Services, LLC
• Laura Warnock Koo, CRNP
• Kristen Rebecca Koob, MD
• Lincy Koodaly, CRNA
• Emily Koogle

• Facial Plastic Surgery Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Facial Plastic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.