THEODORE CHOU
NPI 1912392135
Pediatrics in Dublin, CA

Active since April 03, 2015PECOS Enrolled
4050 DUBLIN BLVD FL 1, DUBLIN, CA 94568(925) 875-3700 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2020, Mar 17, 2020, Aug 23, 2018 (3 updates tracked since 2018).

About Theodore Chou NPPES

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

THEODORE CHOU (NPI 1912392135) is an individual pediatrics provider in Dublin, California, licensed in California (A147352) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912392135
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTHEODORE CHOU
Location Address4050 DUBLIN BLVD FL 1Dublin, CA 94568
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (925) 875-3700
Sole ProprietorNo
Enumeration DateApril 3, 2015
Last NPPES UpdateJune 3, 20203 updates tracked since enumeration
NPPES CertifiedJune 3, 2020
✔ NPI 1912392135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A147352
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.
4050 DUBLIN BLVD FL 1, Dublin, CA 94568

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore Chou 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 Chou reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
12 CAMINO ENCINAS
Orinda, CA 94563
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94568 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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

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

Pediatrics
4050 DUBLIN BLVD FL 1
DUBLIN, CA 94568

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 Chou's NPI number?

The NPI number for Theodore Chou is 1912392135. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is Theodore Chou located?

Theodore Chou practices at 4050 Dublin Blvd Fl 1, Dublin, CA 94568. The listed phone number is (925) 875-3700.

What is Theodore Chou's specialty?

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

Is Theodore Chou enrolled in Medicare?

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

Which organization bills Medicare for Theodore Chou's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Chou reassigns Medicare benefits to Sutter Bay Medical Foundation (Orinda, 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 Chou'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 Chou was last updated on June 3, 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.