Matthew Spiro Theoharakis, MD - Medicare Pediatrics in Wilmington, DE

Matthew Spiro Theoharakis, MD is a medicare enrolled "Pediatrics" physician in Wilmington, Delaware. His current practice location is 1600 Rockland Rd, Wilmington, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 651-4200.

Matthew Spiro Theoharakis is licensed to practice in New York (license number 322870) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750919015.

Contact Information

Matthew Spiro Theoharakis, MD
1600 Rockland Rd,
Wilmington, DE 19803-3607
(302) 651-4200
Not Available

Map and Direction




Physician's Profile

Full NameMatthew Spiro Theoharakis
GenderMale
SpecialityPediatrics
Location1600 Rockland Rd, Wilmington, Delaware
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750919015
  • Provider Enumeration Date: 03/31/2020
  • Last Update Date: 07/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5193188415
  • Enrollment ID: I20230901002951

Medical Identifiers

Medical identifiers for Matthew Spiro Theoharakis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750919015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 322870 (New York)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Matthew Spiro Theoharakis allows following entities to bill medicare on his behalf.
Entity NameTrustees Of Columbia University In The City Of New York
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508266347
PECOS PAC ID: 8527972546
Enrollment ID: O20151201002613

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. Matthew Spiro Theoharakis 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
Matthew Spiro Theoharakis, MD
1600 Rockland Rd,
Wilmington, DE 19803-3607

Ph: () -
Matthew Spiro Theoharakis, MD
1600 Rockland Rd,
Wilmington, DE 19803-3607

Ph: (302) 651-4200

Reviews and Comments


Pediatrics Doctors in Wilmington, DE

Joanna Costa, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1600 Rockland Rd, Wilmington, DE 19803
Phone: 302-651-5795    
Salwa Elizabeth Sulieman, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1600 Rockland Rd, Wilmington, DE 19803
Phone: 302-651-4200    
Shahryar Tariq Rana, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3120 Naamans Rd, Wilmington, DE 19810
Phone: 386-508-0486    
Dr. Henrietta M. Mahoney, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Nemours Pediatrics Philadelphia Pike, 222 Philadelphia Pike, Wilmington, DE 19809
Phone: 302-761-4660    Fax: 302-761-4666
Dr. Francis Njeuma Mase, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 700 W Lea Blvd, Suite 209, Wilmington, DE 19802
Phone: 302-762-5656    Fax: 302-762-5699
Barry Dashefsky, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1600 Rockland Rd, Wilmington, DE 19803
Phone: 302-651-4200    
Dr. Frances R. Zappalla, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: A.i. Dupont Hospital For Children, 1600 Rockland Road, Wilmington, DE 19803
Phone: 302-651-4000    Fax: 302-651-4945

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.