Active NPI
Christian Theodosis, MD
- Emergency Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D0073251
- Practice address
- 110 S Paca St
6TH Floor, Suite 200
Baltimore, MD 21201-1642 - Phone
- (410) 328-4931
- NPI assigned
- Jun 1, 2007
- Last updated
- Dec 4, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 36118543 | IL | |
| Emergency Medicine Physician | 207P00000X | D0073251 | MD | Primary |
| Emergency Medicine Physician | 207P00000X | 261121 | NY |
Addresses
Primary practice location
110 S Paca St
6TH Floor, Suite 200
Baltimore, MD 21201-1642
Mailing address
110 S Paca St
6TH Floor, Suite 200
Baltimore, MD 21201-1642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, WY, TX, LA, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- New York Medical College, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.48 of 100
- Quality
- 82.12
- Improvement activities
- 40
- Cost
- 76.58
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.86 of 100
- Quality
- 61.32
- Improvement activities
- 40
- Cost
- 90.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36118543 | IL | MD | Emergency Medicine Physician |
| D0073251 | MD | MD | Emergency Medicine Physician |
| 261121 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Emergency Medicine Management -- Lake Charles LLC | Emergency Medicine | Current | Accepting new patients |
| Trinity Regional Medical Center | Emergency Medicine | Current | Accepting new patients |
| Salahuddin Syed MD PC | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Emergency Medicine | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| St. Bernard Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Allen Memorial Hospital Corporation | Emergency Medicine | Current | Accepting new patients |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Acute Care Specialists | Emergency Medicine | Current | Accepting new patients |
| St Tammany Emergency Physicians Group LLC | Emergency Medicine | Current | Accepting new patients |
| Valley View Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Allen Memorial Hospital Corporation | Current | Accepting new patients | |
| Congress Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
Locations
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
802 Kenyon Rd
Ste 2C
Fort Dodge, IA 50501
Phone (515) 574-6650
55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145
1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078
1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000
323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000
700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
190 Arrowhead Dr
Evanston, WY 82930
Phone (307) 789-3636
1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352
Interoperability endpoints
- ctheodos@yourcarecommunity.org
- ctheodosis1117775@direct.unitypoint.org
Organizations & group practices 22
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.
-
- Emergency Medicine Physician
- Lafayette, LA
- NPI 1912316944
-
- Emergency Medicine Physician
- Longview, TX
- NPI 1740655273
-
dba Allen Hospital
- Women's Health Nurse Practitioner
- Waterloo, IA
- NPI 1891772927
-
dba Whiteriver Indian Hospital
- General Acute Care Hospital
- Whiteriver, AZ
- NPI 1427335140
TX
-
dba Chinle Comprehensive Health Care Facility
- General Acute Care Hospital
- Chinle, AZ
- NPI 1508800129
TX
-
- Emergency Medicine Physician
- Lake Charles, LA
- NPI 1023430766
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1891187654
-
- Emergency Medicine Physician
- Chalmette, LA
- NPI 1306386685
-
dba UnityPoint Clinic
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
-
- Emergency Medicine Physician
- Marshalltown, IA
- NPI 1164957593
-
dba MEMORIAL HOSPITAL SWEETWATER-Vascular Lab
- Vascular Surgery Physician
- Rock Springs, WY
- NPI 1104204361
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Allen Hospital
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
-
- General Acute Care Hospital
- Marshalltown, IA
- NPI 1629503057
-
dba Ochsner University Hospital & Clinics
- General Acute Care Hospital
- Lafayette, LA
- NPI 1306281126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322956800000",
"number": "1780886952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S PACA ST",
"address_2": "6TH FLOOR, SUITE 200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S PACA ST",
"address_2": "6TH FLOOR, SUITE 200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011642",
"telephone_number": "410-328-4931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEODOSIS",
"first_name": "CHRISTIAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2011-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "36118543",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0073251",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "261121",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 4, 2011; 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.