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DR. THEODORE JAMES COLTERELLI III D.O.
NPI 1609077106
General Practice in Plymouth Meeting, PA

Active since May 30, 2007PECOS Enrolled
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462(610) 272-8221(610) 272-5655 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Theodore James Colterelli Iii D.o. NPPES

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

DR. THEODORE JAMES COLTERELLI III D.O. (NPI 1609077106) is an individual general practice provider in Plymouth Meeting, Pennsylvania, licensed in Pennsylvania (OS014368) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609077106
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. THEODORE JAMES COLTERELLI IIICredential: D.O.
Location Address2901 JOLLY RDPlymouth Meeting, PA 19462-2324
Mailing Address2901 Jolly RdPlymouth Meeting, PA 19462-2324 · (610) 272-8221 · Fax (610) 272-5655
Phone(610) 272-8221
Fax(610) 272-5655
Sole ProprietorYes
Enumeration DateMay 30, 2007
Last NPPES UpdateMay 10, 2022
NPPES CertifiedMay 10, 2022
✔ NPI 1609077106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · OS014368
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2901 JOLLY RD, Plymouth Meeting, PA 19462
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore James Colterelli Iii D.o. 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.

Medicare Billing Reassignments

2

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

Eaglebell PLLC
13 mi
Internal Medicine
26 PRIMROSE LN
Huntingdon Valley, PA 19006
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 15 clinicians in this Medicare group
NPI 1184319451 (267) 523-8729
Hospitalist Medicine Physicians Of Pennsylvania, P.C.
201 mi
Internal Medicine
225 S CENTER AVE
Somerset, PA 15501
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Hospitalist Medicine Physicians Of Pennsylvania PC
  • 274 clinicians in this Medicare group
NPI 1639464308 (814) 443-5000

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

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.

SHAGUFTA AHSAN MD
Internal Medicine
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Montgomery County (570) 613-4943
TATIANA PARRA
Internal Medicine
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 272-8221
KELLY ANN CAVALLI D.O.
Internal Medicine
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 272-8221
UJU JACINTA OSEGHALE
Nurse Practitioner (Family)
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Montgomery County (717) 943-0701
HALEY POTTER
Nurse Practitioner (Family)
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 272-8221
VINCENT GROVE CRNP
Nurse Practitioner (Family)
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 272-8221
MRS. SHANNON WESTBROOK CRNP
Nurse Practitioner (Primary Care)
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 272-3222
HIMASHA GUNASEKARA
Physician Assistant
2901 JOLLY RD
PLYMOUTH MEETING, PA 19462
Montgomery County (610) 272-8221

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 Colterelli's NPI number?

The NPI number for Theodore Colterelli is 1609077106. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Theodore Colterelli located?

Theodore Colterelli practices at 2901 Jolly Rd, Plymouth Meeting, PA 19462. The listed phone number is (610) 272-8221.

What is Theodore Colterelli's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Theodore Colterelli enrolled in Medicare?

Yes. Theodore Colterelli is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Theodore Colterelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Colterelli reassigns Medicare benefits to 2 organizations: Eaglebell PLLC (Huntingdon Valley, PA) and Hospitalist Medicine Physicians Of Pennsylvania, P.C. (Somerset, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Colterelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theodore Colterelli was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.