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ROGER THEODORE M.D.
NPI 1306841614
Physical Medicine & Rehabilitation - Pain Medicine in Towson, MD

Active since June 15, 2005PECOS Enrolled
1001 CROMWELL BRIDGE RD, SUITE 200, TOWSON, MD 21286(410) 821-7775(410) 821-1320 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Roger Theodore M.d. NPPES

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

ROGER THEODORE M.D. (NPI 1306841614) is an individual pain medicine provider in Towson, Maryland, licensed in Maryland (D0014165) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306841614
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameROGER THEODORECredential: M.D.
Location Address1001 CROMWELL BRIDGE RD, SUITE 200Towson, MD 21286-3300
Mailing Address1001 Cromwell Bridge Rd, Suite 200Towson, MD 21286-3300 · (410) 821-7775 · Fax (410) 821-1320
Phone(410) 821-7775
Fax(410) 821-1320
Sole ProprietorNo
Enumeration DateJune 15, 2005
Last NPPES UpdateNovember 28, 2016
✔ NPI 1306841614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in MD · D0014165
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
1001 CROMWELL BRIDGE RD, Towson, MD 21286
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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 (PECOS)

Roger Theodore M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Roger Theodore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Robert L. Gattuso, M.D., PA
14 mi
Family Medicine
106 MT CARMEL ROAD
Parkton, MD 21120
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Robert L Gattuso, M.D., P.A.
  • 3 clinicians in this Medicare group
NPI 1659584621 (410) 357-4500

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 20

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

PAULA MOYLAN LCPC PA
Counselor (Mental Health)
1001 CROMWELL BRIDGE RD, SUITE 308
BALTIMORE, MD 21286
Baltimore County (410) 298-8223
MINDI SMITH O.T.R.
Occupational Therapist
1001 CROMWELL BRIDGE RD
TOWSON, MD 21286
Baltimore County (410) 823-0880
MARY FRANTZ P.T.
Physical Therapist
1001 CROMWELL BRIDGE RD
TOWSON, MD 21286
Baltimore County (410) 823-0880
ELEANOR K WANG P.T.
Physical Therapist
1001 CROMWELL BRIDGE RD
TOWSON, MD 21286
Baltimore County (410) 823-0880
KEY POINT HEALTH SERVICES, INC
Counselor (Mental Health)
1001 CROMWELL BRIDGE RD
TOWSON, MD 21286
Baltimore County (410) 337-5523
STUART TRIPPE SLP
Speech-Language Pathologist
1001 CROMWELL BRIDGE RD
TOWSON, MD 21286
Baltimore County (410) 823-0880
CYNTHIA STRACHAN O.T.R.
Occupational Therapist
1001 CROMWELL BRIDGE RD
TOWSON, MD 21286
Baltimore County (410) 823-0880
DR. KENNETH W DIEHL JR. PSYD
Psychologist
1001 CROMWELL BRIDGE RD, SUITE 308
BALTIMORE, MD 21286
Baltimore County (410) 337-6760

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 Roger Theodore's NPI number?

The NPI number for Roger Theodore is 1306841614. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Roger Theodore located?

Roger Theodore practices at 1001 Cromwell Bridge Rd Suite 200, Towson, MD 21286. The listed phone number is (410) 821-7775.

What is Roger Theodore's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Roger Theodore enrolled in Medicare?

Yes. Roger Theodore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roger Theodore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Theodore reassigns Medicare benefits to Robert L. Gattuso, M.D., PA (Parkton, MD). 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 Roger Theodore'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 Roger Theodore was last updated on November 28, 2016. 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.