Athena Theodosatos, DO MPH

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS10497 Issued in FL

Practice address

3030 E Semoran Blvd Ste 258
Apopka, FL 32703-5900

Phone

(407) 671-3634

Fax

(407) 986-6033

NPI assigned

Feb 16, 2009

Last updated

Oct 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Dermatology

Education

Rowan University School of Osteopathic Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theo Medical Dermatology LLCGroup PAC ID 4688814999, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00298

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.

• Theo Medical Dermatology, LLC

  • Dermatology Physician
  • Apopka, FL
  • NPI 1558707588
  Medicare reassignment Care Compare group NPD Authorized official
• Robert a. Norman, D.O., P.a.

  dba Dr. Robert A. Norman Dermatology

  • Dermatology Physician
  • Riverview, FL
  • NPI 1952440711
  NPD (past)
• Shawnee Mission Medical Center Inc

  dba AdventHealth Medical Group

  • Family Medicine Physician
  • Merriam, KS
  • NPI 1992735690
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1730328691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 E SEMORAN BLVD STE 258",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035900",
            "telephone_number": "407-671-3634",
            "fax_number": "407-986-6033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 E SEMORAN BLVD STE 258",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327035900",
            "telephone_number": "407-671-3634",
            "fax_number": "407-986-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODOSATOS",
        "first_name": "ATHENA",
        "name_prefix": "Dr.",
        "credential": "DO MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS10497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001101800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "146TM",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Root Cause Acupuncture, LLLC
• The Summit of Central Florida, Inc. (Wellsprings of Florida)
• Vilsy Thekkan, CRNP
• Roberto Thelusma
• Theo Medical Dermatology, LLC
• Theraplay @ Home
• Adaline Sullivan Thomas, ARNP
• Amera Jullanar Thomas, MS, PPC
• Deaijia Thomas, BCBA
• Isany Marie Thomas, APRN

• Dermatology Physician in Apopka, FL
• Providers in Apopka, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.