THEORIA MEDICAL
THEORIA MEDICAL is an Internal Medicine Physician in Novi, MI, registered under NPI 1609362375. This provider registers 8 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 41800 W 11 MILE RD STE 109, Novi, MI 48375. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 5395098339
Enrolled in Medicare 28 times, across 28 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Michigan | O20181004002127 | Part B Supplier - Clinic/group Practice |
| Florida | O20191008003842 | Part B Supplier - Clinic/group Practice |
| Ohio | O20200728002910 | Part B Supplier - Clinic/group Practice |
| North Carolina | O20210429000604 | Part B Supplier - Clinic/group Practice |
| New Hampshire | O20210712003011 | Part B Supplier - Clinic/group Practice |
| Minnesota | O20210802000915 | Part B Supplier - Clinic/group Practice |
| Tennessee | O20210806002739 | Part B Supplier - Clinic/group Practice |
| Kentucky | O20211122001624 | Part B Supplier - Clinic/group Practice |
| Indiana | O20211209000803 | Part B Supplier - Clinic/group Practice |
| Texas | O20211216001255 | Part B Supplier - Clinic/group Practice |
| Wisconsin | O20220331000407 | Part B Supplier - Clinic/group Practice |
| Montana | O20220830002269 | Part B Supplier - Clinic/group Practice |
| South Carolina | O20220917000224 | Part B Supplier - Clinic/group Practice |
| Arizona | O20221024002456 | Part B Supplier - Clinic/group Practice |
| Georgia | O20230105001168 | Part B Supplier - Clinic/group Practice |
| Pennsylvania | O20240802000283 | Part B Supplier - Clinic/group Practice |
| Vermont | O20240808000592 | Part B Supplier - Clinic/group Practice |
| Colorado | O20240912002717 | Part B Supplier - Clinic/group Practice |
| Missouri | O20240919002593 | Part B Supplier - Clinic/group Practice |
| Kansas | O20240925002329 | Part B Supplier - Clinic/group Practice |
| Illinois | O20241001000333 | Part B Supplier - Clinic/group Practice |
| Iowa | O20241002001442 | Part B Supplier - Clinic/group Practice |
| Louisiana | O20241105001350 | Part B Supplier - Clinic/group Practice |
| Virginia | O20250116000357 | Part B Supplier - Clinic/group Practice |
| Massachusetts | O20250206001766 | Part B Supplier - Clinic/group Practice |
| Nebraska | O20250305003983 | Part B Supplier - Clinic/group Practice |
| Alabama | O20250409003051 | Part B Supplier - Clinic/group Practice |
| District of Columbia | O20260204001686 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 28 separate enrolment records across 28 states (MI, FL, OH, NC, NH, MN, TN, KY, IN, TX, WI, MT, SC, AZ, GA, PA, VT, CO, MO, KS, IL, IA, LA, VA, MA, NE, AL, DC). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Internal Medicine covers
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NUCC Health Care Provider Taxonomy, code 207R00000X
All registered taxonomy codes
This provider registers 8 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207R00000X | Internal Medicine Physician | — | — | primary |
| 207RC0000X | Cardiovascular Disease Physician Cardiovascular Disease | — | — | |
| 310400000X | Assisted Living Facility | — | — | |
| 207RP1001X | Pulmonary Disease Physician Pulmonary Disease | — | — | |
| 363L00000X | Nurse Practitioner | — | — | |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | |
| 2084P0800X | Psychiatry Physician Psychiatry | — | — | |
| 363A00000X | Physician Assistant | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1609362375 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 6, 2018 |
| Last updated | Feb 5, 2026 |
| Status | Deactivated |
| Sole proprietor | No |
| Practice address |
41800 W 11 MILE RD STE 109 Novi, MI 48375 (248) 860-4634 Fax (248) 282-5044 |
| Other identifiers |
0411248
· Medicaid (OH) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 0 | 9 | 3 | 6 | 2 | 3 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 0 | 9 | 6 | 6 | 4 | 3 | 5 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.