Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Charles Theodorovich, CRNA

Anesthesiology Physician in Bingham Farms, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710945746

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Registry record

Entity type Individual (Type 1)

Name Charles Theodorovich

Credential CRNA

Sex Male

Practice address 30200 Telegraph Rd, Suite 220, Bingham Farms, MI, 48025

Phone (248) 258-5058

Enumeration date May 1, 2006

Last updated in NPPES Apr 1, 2014

Taxonomy & licenses

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License 4704101769 (MI) Primary

CRNA · Certified Registered Nurse Anesthetist: An advanced practice nurse specializing in anesthesia care. About the CRNA credential

Other identifiers

Identifier	Type	State	Issuer
P00309996	Other	MI	RAILROAD MEDICARE
104831359	Medicaid	MI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Charles Theodorovich?

Charles Theodorovich is registered in NPPES with the primary taxonomy of Anesthesiology Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-04-01.