Theodore Tsomides, MD, PHD - Medicare Internal Medicine in Raleigh, NC

Theodore Tsomides, MD, PHD is a medicare enrolled "Hospitalist" physician in Raleigh, North Carolina. He went to Hahnemann University College Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Wakemed Specialists Group Llc and his current practice location is 3024 New Bern Ave, Raleigh, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 350-2800.

Theodore Tsomides is licensed to practice in North Carolina (license number 200001625) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285612754.

Contact Information

Theodore Tsomides, MD, PHD
3024 New Bern Ave,
Raleigh, NC 27610-1247
(919) 350-2800
(919) 350-0225

Map and Direction




Physician's Profile

Full NameTheodore Tsomides
GenderMale
SpecialityInternal Medicine
Experience28 Years
Location3024 New Bern Ave, Raleigh, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theodore Tsomides attended and graduated from Hahnemann University College Of Medicine in 1996
  NPI Data:
  • NPI Number: 1285612754
  • Provider Enumeration Date: 01/05/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4880782390
  • Enrollment ID: I20071116000586

Medical Identifiers

Medical identifiers for Theodore Tsomides such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285612754NPI-NPPES
130F7OtherBLUE CROSS BLUE SHIELD
89130F7MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 200001625 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wakemed, Raleigh CampusRaleigh, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wakemed Specialists Group Llc2466788377690

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Theodore Tsomides allows following entities to bill medicare on his behalf.
Entity NameWakemed Specialists Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588227839
PECOS PAC ID: 2466788377
Enrollment ID: O20190731000815

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Theodore Tsomides is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Theodore Tsomides, MD, PHD
2920 Highwoods Blvd,
Raleigh, NC 27604-0010

Ph: (877) 498-4490
Theodore Tsomides, MD, PHD
3024 New Bern Ave,
Raleigh, NC 27610-1247

Ph: (919) 350-2800

Reviews and Comments


Hospitalist Doctors in Raleigh, NC

Jill M Pappalardi, M.D.
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Practice Location: 3000 New Bern Ave, Raleigh, NC 27610
Phone: 919-350-8000    
Lisa F Dejarnette, MD
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Practice Location: 4420 Lake Boone Trail, Raleigh, NC 27607
Phone: 919-784-7093    Fax: 919-784-7395
Dr. Jessica Lynn Virag, M.D.
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Julie A. Czech, M.D.
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Practice Location: 3000 New Bern Ave, Raleigh, NC 27610
Phone: 919-350-8000    
Dr. Jewook Ha, M
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Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607
Phone: 919-784-7093    
Mr. Rollin Desauguste, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607
Phone: 919-784-7093    
Muhammad Nawaz Ahmed, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 3000 New Bern Ave, Raleigh, NC 27610
Phone: 919-350-8000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.