PROF. THEOHARIS C THEOHARIDES (MD) – Allergy & Immunology (Internal Medicine) Physician, NPI 1235929712

PROF. THEOHARIS C THEOHARIDES (MD) is a healthcare provider. based in Sarasota, Florida. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 1939 (FL). The NPI Number for PROF. THEOHARIS C THEOHARIDES (MD) is 1235929712

Main info

Male
Sole Proprietor
43 Years Of Experience
Name
PROF. THEOHARIS C THEOHARIDES (MD)
NPI
1235929712
Phone
(617) 217-8408
Address
6804 ARECA BLVD
Enumeration Date
8 May 2025
Last Update Date
8 May 2025

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1983 (43 years ago)
PAC ID
8426558529
Professional Enrollment ID
I20250822003861
Address ID
FL333140000Da3550XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

12,368 INTERNAL MEDICINE in FL

Provider Addresses for PROF. THEOHARIS C THEOHARIDES (MD)

  • 6804 ARECA BLVD

    SARASOTA, FL 342417104

    Phone: (617) 217-8408

    Type: Mailing

  • 7595 SW 33RD ST

    DAVIE, FL 333147708

    Phone: (813) 574-5218

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250822003861IInternal MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34241)

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Reviews

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Frequently asked questions

How is PROF. THEOHARIS C THEOHARIDES (MD) identified in CMS data?
CMS-hosted NPPES data lists PROF. THEOHARIS C THEOHARIDES (MD) with NPI 1235929712.
Is PROF. THEOHARIS C THEOHARIDES (MD) still practicing?
PROF. THEOHARIS C THEOHARIDES (MD) is currently listed as active in the public NPI registry.
What is PROF. THEOHARIS C THEOHARIDES (MD)'s specialty?
The listing groups PROF. THEOHARIS C THEOHARIDES (MD) with Allergy & Immunology (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Does PROF. THEOHARIS C THEOHARIDES (MD) list a practice location?
Patients near Sarasota, Florida may find PROF. THEOHARIS C THEOHARIDES (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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