DR. THEODORE JOSEPH JERDEE M.D.
NPI 1104806397
Radiology - Diagnostic Radiology in Travis Afb, CA
About Dr. Theodore Joseph Jerdee M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THEODORE JOSEPH JERDEE M.D. (NPI 1104806397) is an individual diagnostic radiology provider in Travis Afb, California, licensed in California (C53747) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2001).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Theodore Joseph Jerdee M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Theodore Jerdee reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairfield, CA 94534
- Reassigned Medicare billing, California enrollment
- 3,056 clinicians in this Medicare group
Walnut Creek, CA 94598
- Reassigned Medicare billing, California enrollment
- 810 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94535 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TRAVIS AFB, CA 94535
TRAVIS AFB, CA 94535
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theodore Jerdee's NPI number?
The NPI number for Theodore Jerdee is 1104806397. It was assigned to this individual provider in the NPPES registry on January 23, 2006.
Where is Theodore Jerdee located?
Theodore Jerdee practices at 101 Bodin Cir 60 Mdg/Sgqx, Travis Afb, CA 94535. The listed phone number is (707) 423-7182.
What is Theodore Jerdee's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Theodore Jerdee enrolled in Medicare?
Yes. Theodore Jerdee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Theodore Jerdee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Jerdee reassigns Medicare benefits to 4 organizations: Sutter Valley Medical Foundation (Fairfield, CA), John Muir Trauma Physicians Billing Service (Walnut Creek, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Jerdee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Theodore Jerdee was last updated on July 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Theodore Joseph Jerdee, M.D. · NPI 1104806397
Diagnostic Radiology physician in Travis Afb, California. Individual provider, active in the CMS NPPES registry since January 23, 2006.
## Identity
- **NPI:** 1104806397 (Entity type: Individual)
- **Enumerated:** January 23, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** C53747 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 BODIN CIR, 60 MDG/SGQX, Travis Afb, CA 94535-1809
- **Phone:** (707) 423-7182
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Sutter Valley Medical Foundation (NPI 1184859894, Fairfield, CA); John Muir Trauma Physicians Billing Service (NPI 1962551861, Walnut Creek, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2001
## Record status
- **NPPES last updated:** July 25, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1104806397) · Data from the CMS NPPES public registry.