THEODORE LESLIE DEWEESE M.D. NPI 1528003373

NPI Information

  • NPI: 1528003373
  • Provider Name: THEODORE LESLIE DEWEESE, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 600 N WOLFE ST
    BALTIMORE, MD
    ZIP 21287
  • Phone: (410) 955-8964

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NPI Details

Theodore Leslie Deweese, M.D. is a radiation oncology radiology in Baltimore, MD. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Theodore Leslie Deweese, M.D. NPI is 1528003373. 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:

600 N WOLFE ST
BALTIMORE, MD
ZIP 21287-005
Phone: (410) 955-8964

The NPI 1528003373 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 enumeration date for this NPI number is 6/17/2006 and was last updated on 1/17/2014.

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
12085R0001XRadiologyRadiation OncologyD47485MARYLANDNo
22085R0001XRadiologyRadiation OncologyD14152MARYLANDYes

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
1KR52546MMEDICARE PINMARYLAND
2376561000MEDICAIDMARYLAND
3G06594MEDICARE UPINMARYLAND
4232880YFUVMEDICARE PINMARYLAND

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: 11/21/2025

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