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GEORGE H. THEODORE, MD PC
NPI 1215925888
Orthopaedic Surgery - Foot and Ankle Surgery in Boston, MA

Active since October 07, 2005
175 CAMBRIDGE ST, 4TH FLOOR, BOSTON, MA 02114(617) 724-7009(617) 643-1006 Get Directions Write a Review

NPPES record last updated: October 14, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About George H. Theodore, Md Pc NPPES

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

GEORGE H. THEODORE, MD PC (NPI 1215925888) is a healthcare organization registered as a foot and ankle surgery in Boston, Massachusetts and active in the NPI registry since October 2005. The organization lists George H Theodore, Owner, as its authorized official.

NPPES Registry Identity

NPI1215925888
Entity TypeOrganization
Primary Taxonomy207XX0004X
Legal Business NameGEORGE H. THEODORE, MD PC
Location Address175 CAMBRIDGE ST, 4TH FLOORBoston, MA 02114-2743
Mailing Address175 Cambridge St, 4th FloorBoston, MA 02114-2743 · (617) 724-7009 · Fax (617) 643-1006
Phone(617) 724-7009
Fax(617) 643-1006
Organization SubpartNo
Authorized OfficialGeorge H TheodoreOwner · (617) 726-1344
Enumeration DateOctober 7, 2005
Last NPPES UpdateOctober 14, 2014
✔ NPI 1215925888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XX0004X
License✔ Licensed in MA · 150940
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
175 CAMBRIDGE ST, Boston, MA 02114
Open in Google Maps ↗

Other Identifiers 6

Medicare ID-Type UnspecifiedM21329MA
OtherM18225MA · Bcbs Ma
Medicare UPING26707MA
Other173652MA · Hphc
Other727867MA · Tufts
Medicaid9730290MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

George H. Theodore, Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to George H. Theodore, MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

George Theodore, M.D.
Orthopedic Surgery
NPI 1639171101
175 CAMBRIDGE ST 4TH FLOOR
Boston, MA 02114
(617) 724-7009
✔ PECOS✔ Accepts Medicare3.0 mi

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

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 George H. Theodore, MD PC's NPI number?

The NPI number for George H. Theodore, MD PC is 1215925888. It was assigned to this organization in the NPPES registry on October 7, 2005.

Where is George H. Theodore, MD PC located?

George H. Theodore, MD PC is located at 175 Cambridge St 4th Floor, Boston, MA 02114. The listed phone number is (617) 724-7009.

What is George H. Theodore, MD PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is George H. Theodore, MD PC enrolled in Medicare?

Yes. George H. Theodore, MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through George H. Theodore, MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to George H. Theodore, MD PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for George H. Theodore, MD PC was last updated on October 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.