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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: October 18, 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
Phone(619) 471-9260
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

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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
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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 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.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Roper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sharp Rees-Stealy Medical Group, Inc
6.2 mi
Internal Medicine
5651 COPLEY DR STE A
San Diego, CA 92111
  • Reassigned Medicare billing, California enrollment
  • 1,233 clinicians in this Medicare group
NPI 1285616177 (858) 262-6666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

DR. CHRISTINE A. THORNE MD
Preventive Medicine (Public Health & General Preventive Medicine)
330 LEWIS ST STE 400
SAN DIEGO, CA 92103
San Diego County (619) 471-9260
JIAXIN YIN MD
Student in an Organized Health Care Education/Training Program
330 LEWIS ST STE 400
SAN DIEGO, CA 92103
San Diego County (858) 657-7000
KINDNESS NWAKUDU DO
Student in an Organized Health Care Education/Training Program
330 LEWIS ST STE 400
SAN DIEGO, CA 92103
San Diego County (858) 657-7000
GRACE ROBERTS MD
Family Medicine
330 LEWIS ST STE 400
SAN DIEGO, CA 92103
San Diego County (858) 657-7000
CHRISTINA DING-CHIEH FANG MD
Student in an Organized Health Care Education/Training Program
330 LEWIS ST STE 400
SAN DIEGO, CA 92103
San Diego County (858) 657-7000
ALICE SHEN MPH
Student in an Organized Health Care Education/Training Program
330 LEWIS ST STE 400
SAN DIEGO, CA 92103
San Diego County (858) 657-7000

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.

Which organization bills Medicare for Theodore Roper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Roper reassigns Medicare benefits to Sharp Rees-Stealy Medical Group, Inc (San Diego, CA). The 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 Roper'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 Roper was last updated on April 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.