THEODORE H AMEREDES (DO) – Anesthesiology Physician, NPI 1003829748

THEODORE H AMEREDES (DO) is a healthcare provider. based in Bowling green, Kentucky. specializing in ANESTHESIOLOGY. They hold the professional credentials DO. They hold a License No. 946 (TN). The NPI Number for THEODORE H AMEREDES (DO) is 1003829748

Main info

Male
51 Years Of Experience
Accepts Medicare Assignment
Name
THEODORE H AMEREDES (DO)
NPI
1003829748
Phone
(270) 793-1000
Address
1801 ASHLEY CIR
Enumeration Date
14 August 2006
Last Update Date
3 March 2017

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4235596000
Graduation Year
1975 (51 years ago)
PAC ID
8820054588
Group Practice PAC ID
3274063425
Professional Enrollment ID
I20041203000799
Address ID
TN373113847CL2305XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

756 ANESTHESIOLOGY in KY

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Provider Addresses for THEODORE H AMEREDES (DO)

  • TriStar Greenview Regional Hospital, 1801, Ashley Circle, Eastland Park, Bowling Green, Warren County, Kentucky, 42101, United States

    BOWLING GREEN, KY 421043362

    Phone: (270) 793-1000

    Type: Location

  • Dalton Post Office, West Crawford Street, Dalton, Whitfield County, Georgia, 30720, United States

    DALTON, GA 307222563

    Phone: (423) 310-1642

    Fax: (423) 310-1642

    Type: Mailing

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: 2004-12-03

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
I20041203000799IAnesthesiologyTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope3434$0
00813Anesthesia for procedure on small and large bowel using an endoscope2020$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 42104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274063425View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)IN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

Is THEODORE H AMEREDES (DO) listed with a National Provider Identifier?
Yes — THEODORE H AMEREDES (DO) has NPI 1003829748 on file in the registry.
Active or inactive — what applies to THEODORE H AMEREDES (DO)?
You should see THEODORE H AMEREDES (DO) as active in CMS-hosted NPPES data.
What area of care is associated with THEODORE H AMEREDES (DO)?
THEODORE H AMEREDES (DO)'s record emphasizes Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with THEODORE H AMEREDES (DO)?
Directory geography for THEODORE H AMEREDES (DO) centers on Bowling Green, Kentucky.
When was this NPI issued?
Enumeration for THEODORE H AMEREDES (DO) is noted as August 14, 2006 where the registry provides it.

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