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

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: July 26, 2026.

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

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
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

Secondary Practice Location 1

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

Accepted 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

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.

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
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.
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 7

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

Physician Assistant
70 KENYON AVE STE 280
WAKEFIELD, RI 02879
Physician Assistant
70 KENYON AVE STE 280
WAKEFIELD, RI 02879
Surgery
70 KENYON AVE STE 280
WAKEFIELD, RI 02879
Surgery
70 KENYON AVE STE 280
WAKEFIELD, RI 02879
Nurse Practitioner (Family)
70 KENYON AVE STE 280
WAKEFIELD, RI 02879
Nurse Practitioner (Family)
70 KENYON AVE STE 280
WAKEFIELD, RI 02879
Physician Assistant
70 KENYON AVE STE 280
WAKEFIELD, RI 02879

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 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.

Where is Theodore Delmonico located?

Theodore Delmonico practices at 70 Kenyon Ave Ste 280, Wakefield, RI 02879. The listed phone number is (401) 284-1212.

What is Theodore Delmonico's specialty?

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

Is Theodore Delmonico enrolled in Medicare?

Yes. Theodore Delmonico 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 Theodore Delmonico accept?

Health plans from Anthem Blue Cross and Blue Shield list Theodore Delmonico 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 Theodore Delmonico affiliated with any hospitals?

According to CMS data, Theodore Delmonico is affiliated with South County Hospital Inc.

When was this NPI record last updated?

The NPPES record for Theodore Delmonico was last updated on May 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.