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THEODORE C.DOCU MD, PC
NPI 1730304270
Internal Medicine in New York,ny, NY

Active since April 17, 2007
506 FORT WASHINGTON AVE 1F, 1F, NEW YORK,NY, NY 10033(212) 568-0553 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Theodore C.docu Md, Pc NPPES

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

THEODORE C.DOCU MD, PC (NPI 1730304270) is a healthcare organization registered as an internal medicine in New York,ny, New York and active in the NPI registry since April 2007. The organization lists Theodore Costa Docu, President, as its authorized official.

NPPES Registry Identity

NPI1730304270
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTHEODORE C.DOCU MD, PC
Location Address506 FORT WASHINGTON AVE 1F, 1FNew York,ny, NY 10033
Mailing Address506 Fort Washington Ave 1f, 1fNew York,ny, NY 10033 · (212) 568-0553
Phone(212) 568-0553
Organization SubpartNo
Authorized OfficialTheodore Costa DocuPresident · (212) 568-0553
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1730304270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 182886
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
506 FORT WASHINGTON AVE 1F, New York,ny, NY 10033
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Other Identifiers 1

Medicaid01189151NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore C.docu Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Theodore C.Docu MD, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Theodore Docu, M.D.
Internal Medicine
NPI 1326084856
506 FORT WASHINGTON AVE
New York, NY 10033
(212) 568-0553
✔ PECOS✔ Accepts MedicareSame address
Fernando Bobis, M.D.
Internal Medicine
NPI 1215171087
4220 BROADWAY
New York, NY 10033
(212) 931-5999
✔ PECOS0.2 mi
Theresa Miller, M.D.
Family Practice
NPI 1710392774
5750 MOSHOLU AVE
Bronx, NY 10471
(718) 601-0627
✔ PECOS✔ Accepts Medicare4.2 mi
Richard Carlino, M.D.
Family Practice
NPI 1881837201
233 7TH ST
Garden City, NY 11530
(516) 742-5344
✔ PECOS✔ Accepts Medicare18 mi
Eduard Fuzaylov
Internal Medicine
NPI 1891974507
223 TAYLORS MILLS ROAD
Manalapan, NJ 07726
(732) 851-6673
✔ PECOS✔ Accepts Medicare43 mi

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

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 C.Docu MD, PC's NPI number?

The NPI number for Theodore C.Docu MD, PC is 1730304270. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Theodore C.Docu MD, PC located?

Theodore C.Docu MD, PC is located at 506 Fort Washington Ave 1F 1F, New York,ny, NY 10033. The listed phone number is (212) 568-0553.

What is Theodore C.Docu MD, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theodore C.Docu MD, PC enrolled in Medicare?

Yes. Theodore C.Docu MD, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Theodore C.Docu MD, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Theodore C.Docu MD, PC. A 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 the clinician's services. The largest specialties are Internal Medicine (3) and Family Practice (2). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Theodore C.Docu MD, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.