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

Q: 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.

Q: What is Theodore Colterelli's specialty?

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

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: August 16, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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