DR. THEODORE MEGREMIS MD NPI 1508822123

NPI Information

NPI: 1508822123
Provider Name: DR. THEODORE MEGREMIS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
429 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403
Phone: (812) 332-8242
Get Directions

DR. Theodore Megremis, MD is a diagnostic radiology radiology in Bloomington, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Theodore Megremis, MD NPI is 1508822123. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

429 S LANDMARK AVE
BLOOMINGTON, IN
ZIP 47403-003
Phone: (812) 332-8242
Fax: (812) 333-7684

The enumeration date for this NPI number is 4/22/2006 and was last updated on 7/26/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	01020144A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00114513	OTHER	INDIANA	RAILROAD MEDICARE
2	100343900	MEDICAID	INDIANA
3	300023777	OTHER	INDIANA	RR MEDICARE
4	980210A	MEDICARE PIN	INDIANA
5	D94898	MEDICARE UPIN
6	542650A	MEDICARE PIN	INDIANA
7	214160I	MEDICARE PIN	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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