Theodore Mlapah, M.D.
NPI 1811929342 · Internal Medicine Physician · Holyoke, MA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Mlapah, M.D. is a Internal Medicine Physician provider in Holyoke, MA (NPI 1811929342).
Provider details
- NPI number
- 1811929342
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 229246 (MA)
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
1,137 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 628 | $77 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 211 | $113 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 90 | $49 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 72 | $117 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 59 | $171 |
| Physician Or Allowed Practitioner Certification for Medicare-Covered Home Health Services Under a Home Health Plan of Care (patient Not Present), Including Contacts With Home Health Agency and Review of Reports of Patient Status Required By Physicians and |
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 |
|---|---|---|
| Cefuroxime Axetilbrand: Cefuroxime | 45 | 45 |
| Prednisone | 26 | 26 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 18 | 17 |
| Doxycycline Monohydrate | 18 | 17 |
| Furosemide | 17 | 14 |
| Amlodipine Besylate | 16 | 14 |
| Apixabanbrand: Eliquis |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$82 across 5 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
- 2006-07-07
- Last updated
- 2017-02-24
Frequently asked questions
- What is Theodore Mlapah's NPI number?
- Theodore Mlapah's National Provider Identifier (NPI) is 1811929342, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Mlapah's specialty?
- Theodore Mlapah is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Mlapah located?
- Theodore Mlapah's practice location on file with NPPES is 575 Beech Street, Holyoke, MA 01040.
- What is Theodore Mlapah's phone number?
- The practice phone number listed in the NPPES registry for Theodore Mlapah is (413) 534-2500.
- Does Theodore Mlapah accept Medicare?
- Theodore Mlapah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Mlapah's NPI active?
- Yes — Theodore Mlapah's NPI (1811929342) is active in the NPPES registry as of the last update on 2017-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.