THEOPOLIS JR. GILLIAM (MD) – Gastroenterology Physician, NPI 1174566558

THEOPOLIS JR. GILLIAM (MD) is a healthcare provider. based in Richmond, Virginia. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 0101041278 (VA). The NPI Number for THEOPOLIS JR. GILLIAM (MD) is 1174566558

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
THEOPOLIS JR. GILLIAM (MD)
NPI
1174566558
Phone
(804) 765-6650
Address
8580 MAGELLAN PKWY
Enumeration Date
14 June 2006
Last Update Date
6 February 2020

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8047655000
Graduation Year
1984 (42 years ago)
PAC ID
5193888022
Group Practice PAC ID
8022440056
Professional Enrollment ID
I20090120000294
Address ID
VA238471274EM727XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

540 GASTROENTEROLOGY in VA

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Provider Addresses for THEOPOLIS JR. GILLIAM (MD)

  • 8580 MAGELLAN PKWY

    RICHMOND, VA 232271149

    Phone: (804) 765-6650

    Fax: (804) 765-6651

    Type: Mailing

  • Main Street, Emporia, Volusia County, Florida, 32180, United States

    EMPORIA, VA 238471242

    Phone: (434) 594-6603

    Fax: (804) 765-6651

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $245.

Total Amount is formed as General ($245) + Research ($0) + Ownership ($0) = $245.

Last reported payment date: 2024-09-07 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($123).

Total Amount

$245

General + Research + Ownership

Payments

2

Total payment records

General Amount

$245

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-01-20

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
I20090120000294IGastroenterologyVATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes185127$0
99204New patient office or other outpatient visit, 45-59 minutes8888$0
45380Biopsy of large bowel using a flexible endoscope6464$0
99213Established patient office or other outpatient visit, 20-29 minutes5845$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope4444$0
View full utilization report →

Insurance plans in this area (ZIP 23227)

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Provider's Procedures

THEOPOLIS JR. GILLIAM (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYVA45378Diagnostic examination of large bowel using an endoscope4747
GASTROENTEROLOGYVA82270Stool analysis for blood to screen for colon tumors1111

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: 8022440056View full group profile
NameSpecialtyState
General SurgeryVA
-VA
-VA
Cardiac SurgeryVA
-VA
O B S T E T R I C S/ G Y N E C O L O G YVA
-VA
Hospice/Palliative CareVA
Nurse PractitionerVA
Internal Medicine, Hospice/Palliative Care, Internal MedicineVA

Reviews

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Frequently asked questions

Can I use this page to confirm THEOPOLIS JR. GILLIAM (MD)'s NPI?
Yes. THEOPOLIS JR. GILLIAM (MD) is listed with NPI 1174566558 in the public NPI dataset.
Does CMS list THEOPOLIS JR. GILLIAM (MD) as active?
Yes — THEOPOLIS JR. GILLIAM (MD) is active in the NPI listing used on this page.
What healthcare role does THEOPOLIS JR. GILLIAM (MD) hold?
Scheduling teams often label THEOPOLIS JR. GILLIAM (MD) under Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is THEOPOLIS JR. GILLIAM (MD) based?
THEOPOLIS JR. GILLIAM (MD) is tied to Richmond, Virginia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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