THEODORE SAMUEL ROPER MD
NPI 1194344507
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
330 LEWIS ST STE 400, SAN DIEGO, CA 92103(619) 471-9260(619) 471-9300 Get Directions Write a Review

NPPES record last updated: April 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theodore Samuel Roper Md NPPES

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

THEODORE SAMUEL ROPER MD (NPI 1194344507) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2020).

NPPES Registry Identity

NPI1194344507
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHEODORE SAMUEL ROPERCredential: MD
Location Address330 LEWIS ST STE 400San Diego, CA 92103-2108
Mailing Address330 Lewis St Ste 400San Diego, CA 92103-2108 · (619) 471-9260 · Fax (619) 471-9300
Fax(619) 471-9300
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2020
Enumeration DateApril 15, 2020
NPPES CertifiedApril 15, 2020
NPI 1194344507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

330 LEWIS ST STE 400, San Diego, CA 92103

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 Samuel Roper 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 ID8224569215
PECOS Enrollment IDI20241001003392
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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Preventive Medicine (Public Health & General Preventive Medicine)
330 LEWIS ST STE 400
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
330 LEWIS ST STE 400
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
330 LEWIS ST STE 400
SAN DIEGO, CA 92103
Family Medicine
330 LEWIS ST STE 400
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
330 LEWIS ST STE 400
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
330 LEWIS ST STE 400
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
330 LEWIS ST STE 400
SAN DIEGO, CA 92103

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 Roper's NPI number?

The NPI number for Theodore Roper is 1194344507. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Theodore Roper located?

Theodore Roper practices at 330 Lewis St Ste 400, San Diego, CA 92103. The listed phone number is (619) 471-9260.

What is Theodore Roper's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Theodore Roper enrolled in Medicare?

Yes. Theodore Roper 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.

When was this NPI record last updated?

The NPPES record for Theodore Roper was last updated on April 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.