1. Home
  2. Directory
  3. Virginia
  4. Richmond
  5. Pediatrics
  6. NPI Profile

THEODORE PARKS MD
NPI 1114584703
Pediatrics in Richmond, VA

Active since May 20, 2019PECOS EnrolledAccepts Medicare Assignment
1000 E BROAD ST, RICHMOND, VA 23219(804) 628-0189(804) 628-5847 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2024, Apr 13, 2023, May 20, 2019 (3 updates tracked since 2019).

About Theodore Parks Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE PARKS MD (NPI 1114584703) is an individual pediatrics provider in Richmond, Virginia, licensed in Virginia (0101275296) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Virginia Commonwealth University, School Of Medicine (2019).

NPPES Registry Identity

NPI1114584703
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTHEODORE PARKSCredential: MD
Location Address1000 E BROAD STRichmond, VA 23219-1930
Mailing AddressPo Box 780125Philadelphia, PA 19178-0125 · (804) 922-4844
Phone(804) 628-0189
Fax(804) 628-5847
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2019
Enumeration DateMay 20, 2019
Last NPPES UpdateFebruary 7, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1114584703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101275296
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License 0101275296 (VA)
1000 E BROAD ST, Richmond, VA 23219
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11250 E Marshall StRichmond, VA 23298-5023 · Phone (804) 628-0189 · Fax (804) 628-5847
Location 2VCUHS Dept of Peds Residency, 980264, 1250 E. Marshall StRichmond, VA 23298-0264 · Phone (804) 828-9955

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Theodore Parks Md 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.

PECOS PAC ID7618203100
PECOS Enrollment IDI20230428001460
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Theodore Parks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mcv Associated Physicians
0.2 mi
Anesthesiology
1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298
  • Reassigned Medicare billing, Virginia enrollment
  • 2,481 clinicians in this Medicare group
NPI 1710959457 (804) 828-8707
Emergency Coverage, LLC
337 mi
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, Virginia enrollment
  • 679 clinicians in this Medicare group
NPI 1427005008 (423) 625-2200

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 23219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NADIA RAZANI DMD
Dentist
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-2467
KRISTIN STRUCK CPNP
Nurse Practitioner (Pediatrics)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-2467
MRS. CARRIE SHREVE ENTSMINGER NP
Registered Nurse (Pediatrics)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 628-5848
BRITTANY ERIN ROBERTSON
Pediatrics
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-2467
LAUREN T. COBERT PNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-3500
JENNY SMITH NNP-BC
Nurse Practitioner (Neonatal)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-2467
DR. JORDAN LAWSON DNP, RN, CNL, NNP-BC
Nurse Practitioner (Neonatal)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 519-4300
SHELBY FOGLEMAN LCSW
Social Worker (Clinical)
1000 E BROAD ST
RICHMOND, VA 23219
Richmond City (804) 828-8356

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 Parks's NPI number?

The NPI number for Theodore Parks is 1114584703. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Theodore Parks located?

Theodore Parks practices at 1000 E Broad St, Richmond, VA 23219. The listed phone number is (804) 628-0189.

What is Theodore Parks's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Theodore Parks enrolled in Medicare?

Yes. Theodore Parks 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 Parks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Parks reassigns Medicare benefits to 2 organizations: Mcv Associated Physicians (Richmond, VA) and Emergency Coverage, LLC (Newport, TN). 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 Parks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Parks accept?

Health plans from Oscar Health list Theodore Parks as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Parks was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.