JUDITH ANN THERIOT MD - NPI 1811990476 - Pediatrics in Louisville, KY

Q: What is Judith Theriot's NPI number?

The NPI number for Judith Theriot is 1811990476. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Q: What is Judith Theriot's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Judith Theriot was last updated on October 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Judith Ann Theriot Md NPPES

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

JUDITH ANN THERIOT MD (NPI 1811990476) is an individual pediatrics provider in Louisville, Kentucky, licensed in Kentucky (31361) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811990476

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJUDITH ANN THERIOTCredential: MD

Location Address411 E CHESTNUT ST # STREET1Louisville, KY 40202-1713

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 588-3440

Fax(502) 588-3441

Sole ProprietorNo

Enumeration DateMay 27, 2005

Last NPPES UpdateOctober 27, 20203 updates tracked since enumeration

NPPES CertifiedOctober 27, 2020

✔ NPI 1811990476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KY · 31361

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

411 E CHESTNUT ST # STREET1, Louisville, KY 40202

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Other Identifiers 1

Medicaid6431361200KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judith Ann Theriot 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA DIANE JOHNSON MSSW,CSW

Social Worker (Clinical)