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THEO JAMES ELDORE MD
NPI 1588415426
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since March 28, 2024PECOS Enrolled
331 NE THORNTON PL, SEATTLE, WA 98125(206) 520-2405(206) 520-2450 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theo James Eldore Md NPPES

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

THEO JAMES ELDORE MD (NPI 1588415426) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588415426
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHEO JAMES ELDORECredential: MD
Location Address331 NE THORNTON PLSeattle, WA 98125-8021
Mailing Address331 Ne Thornton PlSeattle, WA 98125-8021 · (206) 520-2405 · Fax (206) 520-2450
Phone(206) 520-2405
Fax(206) 520-2450
Sole ProprietorNo
Enumeration DateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
✔ NPI 1588415426 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.
331 NE THORNTON PL, Seattle, WA 98125
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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)

Theo James Eldore Md 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.

DR. SONIA ABRAHAM DO
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405
HEAMI YI MD
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405
MEGAN KATHLEEN KERSTEIN MD
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405
OSWALDO ENRIQUE AVENDANO BOLIVAR DO
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405
EMILY JOAN SMITH
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405
REBECCA REGAN MD
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405
NATALIE ANN HONAN MD
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405
MR. DOMINIC GEORGE TAPIA MD
Student in an Organized Health Care Education/Training Program
331 NE THORNTON PL
SEATTLE, WA 98125
King County (206) 520-2405

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 Theo Eldore's NPI number?

The NPI number for Theo Eldore is 1588415426. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Theo Eldore located?

Theo Eldore practices at 331 NE Thornton Pl, Seattle, WA 98125. The listed phone number is (206) 520-2405.

What is Theo Eldore's specialty?

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

Is Theo Eldore enrolled in Medicare?

Yes. Theo Eldore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theo Eldore was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.