Active NPI
Lindly Theroux, D.O.
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- H99092
- Practice address
- 600 N Wolfe St
Baltimore, MD 21287-0005 - Phone
- (410) 955-5000
- NPI assigned
- Jun 3, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 201801469 | NC | |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | H99092 | MD | Primary |
Addresses
Primary practice location
600 N Wolfe St
Baltimore, MD 21287-0005
Mailing address
150 Peters Creek Pkwy Apt 344
Winston Salem, NC 27101-3687
Phone (757) 729-1660
Other practice location 1
1 Medical Center Dr
Morgantown, WV 26506-1200
Phone (304) 598-4000
Other practice location 2
2315 Gadsden St
Columbia, SC 29201-2038
Phone (757) 729-1660
Other practice location 3
1 Medical Center Blvd
Winston Salem, NC 27157-2038
Phone (336) 713-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639559883 | Medicaid | WV |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ltheroux298838@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | ltheroux298838@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | ltheroux298838@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, WV, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201801469 | NC | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Wake Forest Emergency Providers | Current | Accepting new patients |
Locations
600 N Wolfe St
Baltimore, MD 21287
601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- ltheroux1171970@direct.hopkinsmedicine.org
Organizations & group practices 4
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 1568459097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1639559883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PETERS CREEK PKWY APT 344",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271013687",
"telephone_number": "757-729-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WOLFE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870005",
"telephone_number": "410-955-5000"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Morgantown",
"state": "WV",
"postal_code": "265061200",
"country_code": "US",
"telephone_number": "304-598-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2315 Gadsden St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292012038",
"country_code": "US",
"telephone_number": "757-729-1660",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271572038",
"country_code": "US",
"telephone_number": "336-713-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THEROUX",
"first_name": "LINDLY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-03",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "NC",
"license": "201801469",
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "MD",
"license": "H99092",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1639559883",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ltheroux298838@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ltheroux298838@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ltheroux298838@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Medical Center Dr",
"city": "Morgantown",
"state": "WV",
"country_code": "US",
"postal_code": "265061200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.