Theoria Medical
NPI 1609362375 · Internal Medicine Physician · Novi, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theoria Medical is a Internal Medicine Physician organization in Novi, MI (NPI 1609362375).
Provider details
- NPI number
- 1609362375
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Svetlana Vinokur, Cfo(847) 275-9504
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
13 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Justin P Direzze MD Sole Mbr
Additional practice locations (12)
- 1537 Ne Cedar StJensen Beach, FL 34957-4808Phone: (772) 332-1000
- 38130 Pretty Pond RdZephyrhills, FL 33540-1419Phone: (813) 779-4501
- 250 Hills and Dales Farm RdLagrange, GA 30240-3805Phone: (770) 312-6744
- 6301 Lincoln HwyMatteson, IL 60443-1568Phone: (248) 660-1220
- 4150 W Republic RdBattlefield, MO 65619-7111Phone: (248) 660-1220
- 16255 Chesterfield Pkwy WChesterfield, MO 63017-4824Phone: (248) 660-1220
- 3002 John Duffy DrJoplin, MO 64804-1656Phone: (248) 660-1220
- 1538 N Old Castle RdNixa, MO 65714-9902Phone: (248) 660-1220
- 1520 E BatesSpringfield, MO 65804-8425Phone: (248) 660-1220
Registry dates
- Enumerated
- 2018-07-06
- Last updated
- 2026-02-05
- Certified
- 2026-02-05
Frequently asked questions
- What is Theoria Medical's NPI number?
- Theoria Medical's National Provider Identifier (NPI) is 1609362375, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Theoria Medical?
- Theoria Medical is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theoria Medical located?
- Theoria Medical's practice location on file with NPPES is 41800 W 11 Mile Rd Ste 109, Novi, MI 48375-1818.
- What is Theoria Medical's phone number?
- The practice phone number listed in the NPPES registry for Theoria Medical is (248) 860-4634.
- Does Theoria Medical accept Medicare?
- Theoria Medical is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Theoria Medical?
- The authorized official listed on Theoria Medical's NPPES record is Svetlana Vinokur, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Theoria Medical's NPI active?
- Yes — Theoria Medical's NPI (1609362375) is active in the NPPES registry as of the last update on 2026-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.