THEODORE R DELMONICO M.D.
NPI 1376806943
Surgery - Trauma Surgery in Wakefield, RI

Q: What is Theodore Delmonico's NPI number?

The NPI number for Theodore Delmonico is 1376806943. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Q: What is Theodore Delmonico's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Active since June 19, 2012PECOS EnrolledAccepts Medicare Assignment

70 KENYON AVE STE 280, WAKEFIELD, RI 02879(401) 284-1212(401) 788-8730 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2023, Apr 21, 2020, Aug 6, 2018 and 1 more (4 updates tracked since 2018).

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About Theodore R Delmonico M.d. NPPES

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

THEODORE R DELMONICO M.D. (NPI 1376806943) is an individual trauma surgery provider in Wakefield, Rhode Island, licensed in Rhode Island (MD16013) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with South County Hospital Inc, and maintains a secondary practice location in Fairhaven.

NPPES Registry Identity

NPI1376806943

Entity TypeIndividualMale

Primary Taxonomy2086S0127X

Provider Legal NameTHEODORE R DELMONICOCredential: M.D.

Location Address70 KENYON AVE STE 280Wakefield, RI 02879-4253

Mailing Address101 Page StNew Bedford, MA 02740-3464

Phone(401) 284-1212

Fax(401) 788-8730

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 19, 2012

Last NPPES UpdateMay 17, 20234 updates tracked since enumeration

NPPES CertifiedMay 17, 2023

✔ NPI 1376806943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0127X

Licenses✔ Licensed in RI · MD16013✔ Licensed in MA · 276046

Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Also ListedSurgeryTaxonomy 208600000X · License MD16013 (RI)

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License MD16013 (RI)

70 KENYON AVE STE 280, Wakefield, RI 02879

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Secondary Practice Location 1

Location 1208 Mill RdFairhaven, MA 02719-5208 · Phone (508) 973-2204 · Fax (508) 973-2640

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore R Delmonico M.d. 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 ID6204109630

PECOS Enrollment IDI20221006000105

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 Reassignments

Medicare enrollment records show Theodore Delmonico reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Silver Spring Health Care Management, Inc

Same address

Surgery

70 KENYON AVE STE L10
Wakefield, RI 02879

Reassigned Medicare billing, Rhode Island enrollment
Also billed through NPI 1619157468 (Rhode Island), NPI 1295105294 (Rhode Island)
3 clinicians in this Medicare group

NPI 1306034244 (401) 788-1638

Southcoast Physicians Group, Inc.

35 mi

Family Medicine

200 MILL ROAD, SUITE 180
Fairhaven, MA 02719

Reassigned Medicare billing, Massachusetts enrollment
1,144 clinicians in this Medicare group

NPI 1336137629 (508) 973-2000

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

40 services24 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

21 services16 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services14 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410008

Location100 Kenyon AveWakefield, RI 02879 · Washington County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 8

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

NOCIF JOSEPH ESPAT

Surgery