Active NPI
Peter Theodoropoulos, MD
- Psychiatry Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0076531
- Practice address
- 1230 South Federal Hwy
# 102
Boynton Beach, FL 33435 - Phone
- (561) 736-9192
- Fax
- (561) 736-8160
- NPI assigned
- Mar 5, 2007
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0076531 | FL | Primary |
Addresses
Primary practice location
1230 South Federal Hwy
# 102
Boynton Beach, FL 33435
Mailing address
1230 South Federal Hwy
# 102
Boynton Beach, FL 33435
Phone (561) 736-9192
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
- Psychiatry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 S 23Rd St
Fort Pierce, FL 34950-4803
Phone (772) 461-4000
4700 N Habana Ave
Suite 601
Tampa, FL 33614-7160
Phone 8328694818235
Hospital & facility affiliations
- HCA Florida Lawnwood Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0076531 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Florida Behavioral Health Network, LLC | Psychiatry | Current | Accepting new patients |
| Psychiatry of Texas PLLC | Psychiatry | Current | Accepting new patients |
| Psychplus Medical Associates, PLLC | Psychiatry | Current | Accepting new patients |
| Coral Shores Behavioral Health, LLC | Psychiatry | Current | Accepting new patients |
Locations
250 2nd St E
Ste 4C
Bradenton, FL 34208
Phone (941) 744-5860
6700 Winkler Rd
Ste 4
Fort Myers, FL 33919
Phone 8328694818 ext. 235
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
5995 SE Community Dr
Stuart, FL 34997
Phone (727) 424-3427
4700 N Habana Ave
Ste 601
Tampa, FL 33614
Phone (201) 706-1143
7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109
Networks
- Freedom Health HMO Network
Interoperability endpoints
- peter.theodoropoulos@hca4.eclinicaldirectplus.com
Organizations & group practices 5
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.
-
- Psychiatry Physician
- West Palm Beach, FL
- NPI 1538462130
-
- Family Medicine Physician
- Houston, TX
- NPI 1558118026
FL, Psychiatry
-
- Psychiatry Physician
- Tampa, FL
- NPI 1205702339
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790814713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 SOUTH FEDERAL HWY",
"address_2": "# 102",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "33435",
"telephone_number": "561-736-9192",
"fax_number": "561-736-8160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 SOUTH FEDERAL HWY",
"address_2": "# 102",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "33435",
"telephone_number": "561-736-9192",
"fax_number": "561-736-8160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEODOROPOULOS",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0076531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.