Jennifer Anne Theoharis, M.D.
NPI 1659356913ActiveIndividual· Radiology, Diagnostic Radiology· Boerne, TX
Radiology, Diagnostic Radiology (M.D.) in Boerne, Texas, trained at University of Chicago, Pritzker School of Medicine (class of 1997). Enrolled in Medicare as practitioner - diagnostic radiology and practitioner - diagnostic radiology.
Overview
| NPI | 1659356913 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 9, 2005 |
| Last updated in NPPES | Jan 20, 2026 |
| Certified by provider | Jan 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | M0943 | TX |
| Radiology, Diagnostic Radiology | 2085R0202X | A85035 | CA |
| Radiology, Diagnostic Radiology | 2085R0202X | 045784 | CT |
| Radiology, Diagnostic Radiology | 2085R0202X | 37923 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (AR); Practitioner - Diagnostic Radiology (CA); Practitioner - Diagnostic Radiology (IN); Practitioner - Diagnostic Radiology (NJ); Practitioner - Diagnostic Radiology (OR); Practitioner - Diagnostic Radiology (TN); Practitioner - Diagnostic Radiology (TX) |
|---|
Education and affiliations
| Medical school | University of Chicago, Pritzker School of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Summit Medical Group, PLLCKnoxville, TN · 652 clinicians
- American Health Network of Indiana LLCFishers, IN · 208 clinicians
- Knd Development 59 LLCFort Lauderdale, FL · 177 clinicians
- Garden State Healthcare Associates LLCHoboken, NJ · 170 clinicians
Hospital affiliations
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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