ANDREA THEODORU MD
NPI 1710567144
Student in an Organized Health Care Education/Training Program in Lawrenceville, GA

Q: What is Andrea Theodoru's NPI number?

The NPI number for Andrea Theodoru is 1710567144. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Q: What is Andrea Theodoru's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Theodoru was last updated on April 9, 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.

Active since April 09, 2021PECOS Enrolled

1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(678) 312-1000 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Andrea Theodoru Md NPPES

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

ANDREA THEODORU MD (NPI 1710567144) is an individual student in an organized health care education/training program in Lawrenceville, Georgia and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710567144

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameANDREA THEODORUCredential: MD

Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-7694

Mailing Address21919 Leitersburg Smithsburg RdSmithsburg, MD 21783-1333 · (240) 575-0120

Phone(678) 312-1000

Sole ProprietorNo

Enumeration DateApril 9, 2021

NPPES CertifiedApril 9, 2021

✔ NPI 1710567144 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.

1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046

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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)

Andrea Theodoru 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. ROBERT E BLACK III MD

Anesthesiology