DR. MICHAEL R THEOBALD M.D. NPI 1952393464

NPI Information

  • NPI: 1952393464
  • Provider Name: DR. MICHAEL R THEOBALD, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14551 HOPE CENTER LOOP STE 100
    FORT MYERS, FL
    ZIP 33912
  • Phone: (239) 936-2316

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NPI Details

DR. Michael R Theobald, M.D. is a diagnostic radiology radiology in Fort Myers, FL with 34 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Michael R Theobald, M.D. NPI is 1952393464. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1991

The provider's business location address is:

14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL
ZIP 33912-705
Phone: (239) 936-2316
Fax: (239) 834-6106

The NPI 1952393464 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.

  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of face without contrast (HCPCS:70486)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of head or brain before and after contrast (HCPCS:70470)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of soft tissue of neck before and after contrast (HCPCS:70492)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Mri scan of bone of eye socket, face, and/or neck before and after contrast (HCPCS:70543)
  • Mri scan of blood vessels of neck before and after contrast (HCPCS:70549)
  • Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Ultrasound scan of abdominal aorta (HCPCS:76706)
  • Ct scan of cranial cavity without contrast (HCPCS:70480)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • Double contrast x-ray of esophagus (HCPCS:74221)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)

The enumeration date for this NPI number is 8/19/2005 and was last updated on 2/13/2024.

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
12085R0202XRadiologyDiagnostic RadiologyME73419FLORIDAYes

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
1252181400MEDICAIDFLORIDA
2300085121OTHERFLORIDARR MEDICARE
3300085120OTHERFLORIDARR MEDICARE

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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