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DR. THEODORE SCOTT NOWICKI M.D., PH.D.
NPI 1730522194
Pediatrics - Pediatric Hematology-Oncology in Los Angeles, CA

Active since April 16, 2013PECOS Enrolled
80.5/100
CMS Quality Rating
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095(310) 825-0867(310) 206-4855 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore Scott Nowicki M.d., Ph.d. NPPES

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

DR. THEODORE SCOTT NOWICKI M.D., PH.D. (NPI 1730522194) is an individual pediatric hematology-oncology provider in Los Angeles, California, licensed in California (A133344) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1730522194
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. THEODORE SCOTT NOWICKICredential: M.D., PH.D.
Location Address200 UCLA MEDICAL PLZ STE 265Los Angeles, CA 90095
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 825-0867
Fax(310) 206-4855
Sole ProprietorNo
Enumeration DateApril 16, 2013
Last NPPES UpdateNovember 18, 2019
✔ NPI 1730522194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in CA · A133344
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
200 UCLA MEDICAL PLZ STE 265, Los Angeles, CA 90095
Open in Google Maps ↗

Secondary Practice Location 1

Location 1757 Westwood PlzLos Angeles, CA 90095-7419 · Phone (310) 267-9129

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 Scott Nowicki M.d., Ph.d. 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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.83
Promoting Interoperability100
Improvement Activities40
Cost20.85

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.

MICHAEL R RECTO MD
Pediatrics (Pediatric Cardiology)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
TALIN BABIKIAN PHD
Psychologist (Clinical)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
DR. RISHMA CHAND M.D.
Pediatrics (Pediatric Critical Care Medicine)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
DR. ELLEN MILLER CAMPBELL MD
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
EMMA DOROTHY BURDEKIN
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
SARA RICHARDS MD
Pediatrics
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
SUKSHMA REDDY SREEPATHI M.D.
Pediatrics (Neonatal-Perinatal Medicine)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-0867
DR. CHRISTIAN STUART MCEVOY MD, MPH
Surgery (Pediatric Surgery)
200 UCLA MEDICAL PLZ STE 265
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5904

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 Nowicki's NPI number?

The NPI number for Theodore Nowicki is 1730522194. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Theodore Nowicki located?

Theodore Nowicki practices at 200 Ucla Medical Plz Ste 265, Los Angeles, CA 90095. The listed phone number is (310) 825-0867.

What is Theodore Nowicki's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Theodore Nowicki enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Theodore Nowicki was last updated on November 18, 2019. 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.