Theodore Jefferson, M.D

ActiveIndividual ProviderFamily Medicine
NPI issued: July 8, 2006

Quick Facts

NPI Number
1568495091
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(708) 303-2789
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1568495091)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 8, 2006)
Data source: CMS NPPES

Provider Overview

THEODORE JEFFERSON, M.D is a Family Medicine provider based in Mokena, IL who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1568495091
Provider TypeIndividual Provider
GenderMale
CredentialM.D
StatusActive
Enumeration DateJuly 8, 2006

Practice Location

CityMokena
StateIL
ZIP Code60448-8286
Phone(708) 303-2789

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateIL

Mailing Address

CityMokena
StateIL
ZIP Code60448-8286
Phone(708) 303-2789
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1568495091 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1568495091for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1568495091 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

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199,317
Family Medicine Providers in the US

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People Also Ask

What is Theodore Jefferson's NPI number?
Theodore Jefferson's NPI number is 1568495091, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Theodore Jefferson's NPI currently active?
Yes, Theodore Jefferson's NPI status is Active as of the latest CMS NPPES database updates.
What does Theodore Jefferson specialize in?
Theodore Jefferson specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Theodore Jefferson practice?
Theodore Jefferson practices in Mokena, IL 60448-8286.
When was Theodore Jefferson's NPI issued?
Theodore Jefferson's NPI was issued on July 8, 2006.
What is Theodore Jefferson's provider type?
Theodore Jefferson is registered as an Individual Provider under CMS NPI Type 1.