Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kevin Philip Theodorou, MD

Individual provider Internal Medicine Physician · NPI 1790898880

Dr. Kevin Philip Theodorou, MD is an Internal Medicine in Paradise Valley, Arizona. Graduated from Northwestern University Feinberg Medical School in 1995, 31 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
31
Trained at
Northwestern University Feinberg Medical School
Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10585 N Tatum Blvd D-137
Paradise Valley, AZ 85253-1073
Phone: (602) 277-2361
Fax: (602) 713-9999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 28436 (AZ)

Record details

NPI number1790898880
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 16, 2006
Last updated in NPPESFebruary 14, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolNORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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