Maria Theodoulou, MD
NPI 1720174055 · Medical Oncology Physician · Albany, NY
Enrolled with Medicare as Practitioner - Medical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maria Theodoulou, MD is a Medical Oncology Physician provider in Albany, NY (NPI 1720174055).
Provider details
- NPI number
- 1720174055
- Entity type
- Individual
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 183499 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
4,264 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 582 | $8 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 567 | $10 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 564 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 290 | $130 |
| Immunologic Analysis for Detection of Tumor Antigen, Quantitative; Ca 15-386300 | 245 | $20 |
| Carcinoembryonic Antigen (cea) Protein Level82378 | 241 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Anastrozole | 223 | 77 |
| Letrozole | 45 | 14 |
| Exemestane | 38 | 14 |
| Elacestrant Hclbrand: Orserdu | 22 | — |
| Palbociclibbrand: Ibrance | 21 | — |
| Olanzapine | 15 | — |
| Prochlorperazine Maleate | 14 | — |
| Tamoxifen Citrate | 14 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$205,528 across 94 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2019-03-20
Frequently asked questions
- What is Maria Theodoulou's NPI number?
- Maria Theodoulou's National Provider Identifier (NPI) is 1720174055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maria Theodoulou's specialty?
- Maria Theodoulou is listed in the NPPES registry with a primary specialty of Medical Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Maria Theodoulou located?
- Maria Theodoulou's practice location on file with NPPES is 400 Patroon Creek Blvd, Albany, NY 12206-5013.
- What is Maria Theodoulou's phone number?
- The practice phone number listed in the NPPES registry for Maria Theodoulou is (518) 489-0044.
- Does Maria Theodoulou accept Medicare?
- Maria Theodoulou is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maria Theodoulou's NPI active?
- Yes — Maria Theodoulou's NPI (1720174055) is active in the NPPES registry as of the last update on 2019-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.