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CHRISTINA THEODORIS M.D., PH.D.
NPI 1316488752
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 18, 2017PECOS Enrolled
300 LONGWOOD AVE, BCH, HUNNEWELL BLDG, PAVILION 129, HOUSESTAFF LOUNGE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: March 18, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Christina Theodoris M.d., Ph.d. NPPES

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

CHRISTINA THEODORIS M.D., PH.D. (NPI 1316488752) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316488752
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCHRISTINA THEODORISCredential: M.D., PH.D.
Location Address300 LONGWOOD AVE, BCH, HUNNEWELL BLDG, PAVILION 129, HOUSESTAFF LOUNGEBoston, MA 02115-5724
Mailing Address300 Longwood Ave, Bch, Hunnewell Bldg, Pavilion 129, Housestaff LoungeBoston, MA 02115-5724
Phone(617) 355-6000
Sole ProprietorYes
Enumeration DateMarch 18, 2017
✔ NPI 1316488752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

300 LONGWOOD AVE, Boston, MA 02115
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christina Theodoris M.d., Ph.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.

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.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MISS LAUREN ASHLEY MASTERSON P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

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 Christina Theodoris's NPI number?

The NPI number for Christina Theodoris is 1316488752. It was assigned to this individual provider in the NPPES registry on March 18, 2017.

Where is Christina Theodoris located?

Christina Theodoris practices at 300 Longwood Ave Bch, Hunnewell Bldg, Pavilion 129, Housestaff Lounge, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Christina Theodoris's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Christina Theodoris enrolled in Medicare?

Yes. Christina Theodoris is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christina Theodoris was last updated on March 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.