DR. THEODOTE K. PONTIKES M.D.
NPI 1407023674
Psychiatry & Neurology - Child & Adolescent Psychiatry in Maywood, IL
About Dr. Theodote K. Pontikes M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THEODOTE K. PONTIKES M.D. (NPI 1407023674) is an individual child & adolescent psychiatry provider in Maywood, Illinois, licensed in Illinois (036134236) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Loyola University Medical Center, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
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. Theodote K. Pontikes 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Loyola University Medical Center
Acute Care Hospitals · Maywood, ILOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAYWOOD, IL 60153
MAYWOOD, IL 60153
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 Theodote Pontikes's NPI number?
The NPI number for Theodote Pontikes is 1407023674. It was assigned to this individual provider in the NPPES registry on May 15, 2008.
Where is Theodote Pontikes located?
Theodote Pontikes practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-9000.
What is Theodote Pontikes's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Theodote Pontikes enrolled in Medicare?
Yes. Theodote Pontikes 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.
Is Theodote Pontikes affiliated with any hospitals?
According to CMS data, Theodote Pontikes is affiliated with Loyola University Medical Center.
When was this NPI record last updated?
The NPPES record for Theodote Pontikes was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Theodote K. Pontikes, M.D. · NPI 1407023674
Child & Adolescent Psychiatry physician in Maywood, Illinois. Individual provider, active in the CMS NPPES registry since May 15, 2008.
## Identity
- **NPI:** 1407023674 (Entity type: Individual)
- **Enumerated:** May 15, 2008
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 036134236 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2160 S 1ST AVE, Maywood, IL 60153-3328
- **Phone:** (708) 216-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** April 15, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1407023674) · Data from the CMS NPPES public registry.