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DR. THEODORE DE BERITTO M.D.
NPI 1841605334
Pediatrics - Neonatal-Perinatal Medicine in Los Angeles, CA

Active since June 24, 2014PECOS Enrolled
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095(310) 825-0867(310) 794-5066 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Theodore De Beritto M.d. NPPES

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

DR. THEODORE DE BERITTO M.D. (NPI 1841605334) is an individual neonatal-perinatal medicine provider in Los Angeles, California, licensed in California (A150192) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841605334
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. THEODORE DE BERITTOCredential: M.D.
Location Address200 UCLA MEDICAL PLZ STE 265Los Angeles, CA 90095-8344
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707 · Fax (310) 301-8751
Phone(310) 825-0867
Fax(310) 794-5066
Sole ProprietorNo
Enumeration DateJune 24, 2014
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
✔ NPI 1841605334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · A150192
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
200 UCLA MEDICAL PLZ STE 265, Los Angeles, CA 90095
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore De Beritto M.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 Billing Reassignment

Medicare enrollment records show Theodore De Beritto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uc Regents
0.5 mi
Pediatrics
200 UCLA MEDICAL PLAZA, SUITE 265
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 323 clinicians in this Medicare group
NPI 1982667663 (310) 825-0867

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

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 De Beritto's NPI number?

The NPI number for Theodore De Beritto is 1841605334. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Theodore De Beritto located?

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

What is Theodore De Beritto's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Theodore De Beritto enrolled in Medicare?

Yes. Theodore De Beritto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theodore De Beritto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore De Beritto reassigns Medicare benefits to Uc Regents (Los Angeles, CA). The 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 Theodore De Beritto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theodore De Beritto was last updated on November 19, 2020. 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.