Active NPI
Christian Theodotou
- Neurological Surgery Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME167109
- Practice address
- 265 E Rollins St Ste 12000
Orlando, FL 32804-5571 - Phone
- (407) 975-0200
- Fax
- (407) 975-1247
- NPI assigned
- Mar 24, 2015
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | ME167109 | FL | Primary |
Addresses
Primary practice location
265 E Rollins St Ste 12000
Orlando, FL 32804-5571
Mailing address
265 E Rollins St Ste 12000
Orlando, FL 32804-5571
Phone (407) 975-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of Miami, LM Miller School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cora Health Services Inc
Practice addresses (Care Compare)
1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378
400 Celebration PL
Celebration, FL 34747-4970
Phone (407) 975-0200
Hospital & facility affiliations
- Adventhealth Orlando
- Adventhealth Waterman
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 46 |
| Laminectomy or laminotomy (partial removal of spine bones) | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairbanks Partners LLC | Neurological Surgery | Current | Accepting new patients |
| Fairbanks Partners LLC | Neurological Surgery | Current | Accepting new patients |
| Orlando Neurosurgery, P.a. | Neurological Surgery | Past | Accepting new patients |
Locations
400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000
265 E Rollins St
Ste 12000
Orlando, FL 32804
1605 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 845-8356
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIBACD
Organizations & group practices 3
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.
-
- Neurological Surgery Physician
- Orlando, FL
- NPI 1457735326
-
- Neurological Surgery Physician
- Celebration, FL
- NPI 1003786948
-
- Neurological Surgery Physician
- Winter Park, FL
- NPI 1609983113
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719792000000",
"number": "1659765956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 E ROLLINS ST STE 12000",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328045571",
"telephone_number": "407-975-0200",
"fax_number": "407-975-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 E ROLLINS ST STE 12000",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328045571",
"telephone_number": "407-975-0200",
"fax_number": "407-975-1247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEODOTOU",
"first_name": "CHRISTIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-24",
"last_updated": "2024-07-01",
"certification_date": "2024-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME167109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.