Individual provider Active NPI

Christian Theodosis, MD

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1780886952
Registry record updated Dec 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0073251 Issued in MD
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20140723002233 UT Practitioner - Emergency Medicine 3072694017 Reassigns benefits to 1 organization
I20140725002016 WY Practitioner - Emergency Medicine 3072694017 Reassigns benefits to 2 organizations
I20200623001155 TX Practitioner - Emergency Medicine 3072694017 Reassigns benefits to 3 organizations
I20211022000565 LA Practitioner - Emergency Medicine 3072694017 Reassigns benefits to 4 organizations
I20241025002366 IA Practitioner - Emergency Medicine 3072694017 Reassigns benefits to 3 organizations

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
Congress Emergency Group LLCGroup PAC ID 1557580354, 16 clinicians

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 100Reported as group
Quality
82.12
Improvement activities
40
Cost
76.58

Merit-based Incentive Payment System (MIPS)

Final score
80.86 of 100Reported as group
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

LicenseStateTypeSpecialty
36118543ILMDEmergency Medicine Physician
D0073251MDMDEmergency Medicine Physician
261121NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Emergency Medicine Management -- Lake Charles LLC Emergency Medicine CurrentSince Nov 9, 2022 Accepting new patients
Trinity Regional Medical Center Emergency Medicine CurrentSince Jan 1, 2026 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 CurrentSince Nov 6, 2024 Accepting new patients
Unitypoint Health - Marshalltown Emergency Medicine CurrentSince Nov 6, 2024 Accepting new patients
University of Utah Adult Services CurrentSince Jul 1, 2015 Accepting new patients
St. Bernard Emergency Group, LLC Emergency Medicine CurrentSince Sep 16, 2023 Accepting new patients
Allen Memorial Hospital Corporation Emergency Medicine CurrentSince Jul 28, 2025 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Apr 2, 2024 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 11, 2023 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients
Acute Care Specialists Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
St Tammany Emergency Physicians Group LLC Emergency Medicine CurrentSince Dec 28, 2025 Accepting new patients
Valley View Emergency Physicians LLC Emergency Medicine CurrentSince Oct 1, 2020 Accepting new patients
Allen Memorial Hospital Corporation Current Accepting new patients
Congress Emergency Group LLC Emergency Medicine CurrentSince Sep 5, 2021 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

  • Direct secure messaging: ctheodos@yourcarecommunity.org
  • Direct secure messaging: 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.

View all 22

Hospital & facility affiliations 3

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

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

Verify at the official NPI Registry.