npidexNPI registry + Medicare data

THEODORE STATHOS, MD

Pediatric Gastroenterology Physician · LONE TREE, CO

Individual Active Opted out of Medicare NPI 1144265315

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pediatric Gastroenterology Physician2080P0206X✓33634CO

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Pediatric Medicine), effective 2016-04-11 through 2028-04-11.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.