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NPI · 1104806397 · NPPES-sourced

Dr. Theodore Jerdee M.D.

ActiveDiagnostic Radiology
NPI Number
1104806397
Type 1 · Individual
Taxonomy Code
2085R0202X
Contact
(707) 423-7182
License CA · C53747
Last Updated
About 11 years ago (Jul 2014)
Enumerated 2006-01-23
Primary practice addressCA · 94535-1809
101 Bodin Cir, 60 Mdg/SgqxTravis Afb, CA 94535-1809
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About this NPIWhat this record shows.

NPI 1104806397 is registered to Dr. Theodore Jerdee M.D., a Diagnostic Radiology practising at 101 Bodin Cir, 60 Mdg/Sgqx in Travis Afb, California. Diagnostic Radiology uses medical imaging (X-ray, CT, MRI, ultrasound, and nuclear medicine) to diagnose disease and injury. Dr. Theodore Jerdee M.D. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-01-23
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Theodore Jerdee M.D. accepts. To confirm in-network status with your specific health plan, contact Dr. Theodore Jerdee M.D. directly at (707) 423-7182.

Frequently asked

Yes. NPI 1104806397 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Diagnostic Radiology uses medical imaging (X-ray, CT, MRI, ultrasound, and nuclear medicine) to diagnose disease and injury.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (707) 423-7182.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Theodore Jerdee M.D. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy2085R0202X
Last updated2014-07
Enumerated2006-01-23
StatusActive
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10 records · same addressOther providers at this location.

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Same specialtyOther Diagnostic Radiology providers in California.

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