Dana William Papatheodorou, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA09507100 Issued in NJ

Practice address

119 Oakfield Dr
Brandon, FL 33511-5779

Phone

(855) 421-2733

Fax

(321) 280-2479

NPI assigned

May 18, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Internal Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Docs LLCGroup PAC ID 1254751456, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

61.76 of 100Reported as individual

Quality

90

Improvement activities

0

Cost

69.19

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.

• First Docs LLC

  • Internal Medicine Physician
  • Hamilton, NJ
  • NPI 1154936227
  Medicare reassignment Care Compare group NPD
• Hospitalist Physicians of New Jersey PA

  • Hospitalist Physician
  • Edison, NJ
  • NPI 1588021851

  Internal Medicine

  Medicare reassignment NPD
• Liberty Med Associates LLC

  • Internal Medicine Physician
  • Holmdel, NJ
  • NPI 1366983033
  Medicare reassignment NPD
• Two River Physician Associates

  • Diagnostic Radiology Physician
  • Red Bank, NJ
  • NPI 1417354333
  Medicare reassignment NPD
• Liberty Med Associates LLC

  • Foot & Ankle Surgery Podiatrist
  • Hazlet, NJ
  • NPI 1386279552
  NPD
• Advanced Intergrated Medicine Inc

  • Internal Medicine Physician
  • Brandon, FL
  • NPI 1164733861
  NPD (past)
• HMH Hospitals Corporation

  • General Acute Care Hospital
  • Red Bank, NJ
  • NPI 1710499462
  NPD (past)
• Mercer Bucks Medical Associates, P.C.

  • Internal Medicine Physician
  • Levittown, PA
  • NPI 1952485971
  NPD (past)

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1588957971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3637",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335093637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 OAKFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115779",
            "telephone_number": "855-421-2733",
            "fax_number": "321-280-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPATHEODOROU",
        "first_name": "DANA",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09507100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirmalasari Panagopoulos
• James William Pank, PA-C
• Mayleen Pantoja
• Elizabeth Paonessa
• Catherine R Papatheodorou, APRN
• Laura Frances Papp, RMHCI
• Jamie Pappa
• Sonam Parag
• Maggie Parchman
• Park View of Brandon LLC

• Internal Medicine Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; 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.