DR. GUS THEODOS M.D. NPI 1053401422

NPI Information

  • NPI: 1053401422
  • Provider Name: DR. GUS THEODOS, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3023 N BALLAS RD STE 200D
    SAINT LOUIS, MO
    ZIP 63131
  • Phone: (314) 996-7272

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NPI Details

DR. Gus Theodos, M.D. is an interventional cardiology internal medicine in Saint Louis, MO with 22 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Gus Theodos, M.D. NPI is 1053401422. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:2003

The provider's business location address is:

3023 N BALLAS RD STE 200D
SAINT LOUIS, MO
ZIP 63131-328
Phone: (314) 996-7272

The NPI 1053401422 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel (HCPCS:92978)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Replacement of aortic valve through the skin and femoral artery (HCPCS:33361)
  • Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist (HCPCS:93460)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Ultrasound evaluation of heart blood vessel or graft with review by radiologist, each additional vessel (HCPCS:92979)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Repair of left upper heart chamber with implant with review by radiologist (HCPCS:33340)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel (HCPCS:93571)
  • Injection for imaging of aorta above heart valve with review by radiologist (HCPCS:93567)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
  • Removal of plaque, insertion of stent and/or balloon dilation of single coronary artery, branch or bypass graft (HCPCS:92943)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Coronary angioplasty and stenting (HCPCS:NAN05)
  • Pacemaker insertion or repair (HCPCS:NAN10)
  • Leg revascularization (restoring blood flow) (HCPCS:NAN01)

The enumeration date for this NPI number is 10/13/2006 and was last updated on 3/22/2021.

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
1207RI0011XInternal MedicineInterventional Cardiology2016007344MISSOURIYes

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: 3/30/2025

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