THEODORE PARKS MD
NPI 1114584703
Pediatrics in Richmond, VA

Q: 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.

Q: What is Theodore Parks's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

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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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

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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.

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