DR. SAMUEL RAYMOND THEIS DO
NPI 1235638081
Internal Medicine - Cardiovascular Disease in Wright Patterson Afb, OH

Q: What is Samuel Theis's NPI number?

The NPI number for Samuel Theis is 1235638081. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Q: What is Samuel Theis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Theis was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since February 07, 2018PECOS EnrolledAccepts Medicare Assignment

4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433(937) 257-1770 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Apr 10, 2025, Sep 15, 2024 and 2 more (5 updates tracked since 2018).

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About Dr. Samuel Raymond Theis Do NPPES

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

DR. SAMUEL RAYMOND THEIS DO (NPI 1235638081) is an individual cardiovascular disease provider in Wright Patterson Afb, Ohio, licensed in Ohio (34.014690) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Upper Valley Medical Center, and maintains a secondary practice location in Englewood.

NPPES Registry Identity

NPI1235638081

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. SAMUEL RAYMOND THEISCredential: DO

Location Address4881 SUGAR MAPLE DRWright Patterson Afb, OH 45433-5529

Mailing Address4881 Sugar Maple DrWright Patterson Afb, OH 45433-5529 · (937) 257-1770

Phone(937) 257-1770

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 7, 2018

Last NPPES UpdateSeptember 2, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2025

✔ NPI 1235638081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in OH · 34.014690

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 34.014690 (OH)

4881 SUGAR MAPLE DR, Wright Patterson Afb, OH 45433

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Secondary Practice Location 1

Location 19000 N Main St Ste 101Englewood, OH 45415-1184 · Phone (937) 832-2425

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Dr. Samuel Raymond Theis Do 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 ID749530525

PECOS Enrollment IDI20250822003187

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360174

Location3130 North County Road 25ATroy, OH 45373 · Miami County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. JAMES REBELLO III

Pharmacist

4881 SUGAR MAPLE DR
FAIRBORN, OH 45433

Greene County (937) 257-9014

CARLA HUELSKAMP PHARMD

Pharmacist

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-9696

JOHN ALAN ARTHUR

Internal Medicine

4881 SUGAR MAPLE DR
WPAFB, OH 45433

Greene County (937) 257-4482

ALEXIS D OWEN

Military Health Care Provider (Independent Duty Medical Technicians)

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-1574

GREGORY JAMES MORSE M.D.

Radiology (Nuclear Radiology)

4881 SUGAR MAPLE DR, 88 DTS/SGQX
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-9679

KENDRA M. SCHMUCK RD LD

Dietitian, Registered

4881 SUGAR MAPLE DR
WPAFB, OH 45433

Greene County (937) 257-8815

MATTHEW PHILIP SCULLY IDMT

Military Health Care Provider (Independent Duty Medical Technicians)

4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433

Greene County (616) 717-0169

KAREN LEWIS RTT

Radiologic Technologist (Radiation Therapy)

4881 SUGAR MAPLE DR, 88TH MDOS/SGOMR
WRIGHT PATTERSON AFB, OH 45433

Greene County (937) 257-4159

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 Samuel Theis's NPI number?

The NPI number for Samuel Theis is 1235638081. It was assigned to this individual provider in the NPPES registry on February 7, 2018.

Where is Samuel Theis located?

Samuel Theis practices at 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433. The listed phone number is (937) 257-1770.

What is Samuel Theis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Samuel Theis enrolled in Medicare?

Yes. Samuel Theis 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.

What insurance does Samuel Theis accept?

Health plans from CareSource list Samuel Theis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samuel Theis affiliated with any hospitals?

According to CMS data, Samuel Theis is affiliated with Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Theis was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.