DR. THEODORE RAYMOND DAGE ACPNP, DNP
NPI 1205344868
Nurse Practitioner - Pediatrics, Critical Care in Middletown, NY
About Dr. Theodore Raymond Dage Acpnp, Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THEODORE RAYMOND DAGE ACPNP, DNP (NPI 1205344868) is an individual pediatrics, critical care provider in Middletown, New York, licensed in New York (382855) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Warwick.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Theodore Raymond Dage Acpnp, Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Theodore Dage reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, NY 10940
- Reassigned Medicare billing, New York enrollment
- 226 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 10940 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.
MIDDLETOWN, NY 10940
MIDDLETOWN, NY 10940
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 Dage's NPI number?
The NPI number for Theodore Dage is 1205344868. It was assigned to this individual provider in the NPPES registry on January 17, 2018.
Where is Theodore Dage located?
Theodore Dage practices at 707 E Main St, Middletown, NY 10940. The listed phone number is (845) 333-1000.
What is Theodore Dage's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.
Is Theodore Dage enrolled in Medicare?
Yes. Theodore Dage is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Theodore Dage's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Dage reassigns Medicare benefits to Garnet Health Doctors PC (Middletown, NY). 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 Dage'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 Dage was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 Raymond Dage, ACPNP, DNP · NPI 1205344868
Pediatrics, Critical Care physician in Middletown, New York. Individual provider, active in the CMS NPPES registry since January 17, 2018.
## Identity
- **NPI:** 1205344868 (Entity type: Individual)
- **Enumerated:** January 17, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics, Critical Care · taxonomy 363LP0222X
- **State license:** 382855 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 707 E MAIN ST, Middletown, NY 10940-2650
- **Phone:** (845) 333-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Garnet Health Doctors PC (NPI 1093138851, Middletown, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1205344868) · Data from the CMS NPPES public registry.