BASIL C THEODOTOU MD PA
NPI 1235407206
Neurological Surgery in Melbourne, FL

Active since December 06, 2011
32 SUNTREE PL, MELBOURNE, FL 32940(321) 752-7001(321) 254-1776 Get Directions Write a Review

NPPES record last updated: January 5, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Basil C Theodotou Md Pa NPPES

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

BASIL C THEODOTOU MD PA (NPI 1235407206) is a healthcare organization registered as a neurological surgery in Melbourne, Florida and active in the NPI registry since December 2011. The organization lists Basil Theodotou, Owner, as its authorized official.

NPPES Registry Identity

NPI1235407206
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameBASIL C THEODOTOU MD PA
Location Address32 SUNTREE PLMelbourne, FL 32940-7689
Mailing Address32 Suntree PlMelbourne, FL 32940-7689 · (321) 752-7001 · Fax (321) 254-1776
Fax(321) 254-1776
Organization SubpartNo
Authorized OfficialBasil TheodotouOwner · (321) 752-7001
Enumeration DateDecember 6, 2011
Last NPPES UpdateJanuary 5, 2017
✔ NPI 1235407206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in FL · ME0046303
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
32 SUNTREE PL, Melbourne, FL 32940

Other Identifiers 2

Medicare UPINC81701FL
Medicaid041713100FL

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Basil C Theodotou Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20111209000464Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Basil C Theodotou MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neurosurgery
NPI 1760487961
32 SUNTREE PL
Melbourne, FL 32940
(321) 752-7001
✔ PECOS✔ Accepts MedicareSame address

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 Basil C Theodotou MD PA's NPI number?

The NPI number for Basil C Theodotou MD PA is 1235407206. It was assigned to this organization in the NPPES registry on December 6, 2011.

Where is Basil C Theodotou MD PA located?

Basil C Theodotou MD PA is located at 32 Suntree Pl, Melbourne, FL 32940. The listed phone number is (321) 752-7001.

What is Basil C Theodotou MD PA's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Basil C Theodotou MD PA enrolled in Medicare?

Yes. Basil C Theodotou MD PA is registered in the Medicare PECOS enrollment system.

When is Basil C Theodotou MD PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Basil C Theodotou MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Neurosurgery) reassigns their Medicare billing to Basil C Theodotou MD PA. 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 Basil C Theodotou MD PA was last updated on January 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.