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

Dr. Michael Hercules Theodoulou, DPM

Individual provider Podiatrist · NPI 1760430755

Dr. Michael Hercules Theodoulou, DPM is a Podiatry in Somerville, Massachusetts. Qualified in 1989, 37 years ago. Practices with Cambridge Public Health Commission, a 649-clinician group and accepts Medicare assignment. Licensed in District of Columbia, Massachusetts and Maryland.

Years since qualifying
37
Licensed in
DC, MA, MD
In the registry since
2006
Specialties on file
3
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

230 Highland Ave
Somerville, MA 02143-1408
Phone: (617) 665-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 2358 (MA)
Podiatrist Taxonomy 213E00000X · Licence PO558 (DC)
Podiatrist Taxonomy 213E00000X · Licence 01073 (MD)

Record details

NPI number1760430755
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESDecember 8, 2011

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Cambridge Public Health Commission — 649 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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