Theodore Addai, M.D.
NPI 1912985185 · Cardiovascular Disease Physician · Decatur, IL
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Addai, M.D. is a Cardiovascular Disease Physician provider in Decatur, IL (NPI 1912985185).
Provider details
- NPI number
- 1912985185
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036078026 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,237 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) |
|---|---|---|
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 321 | $68 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 261 | $127 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 234 | $180 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 222 | $8 |
| Evaluation of Single, Dual, Multiple Lead Or Leadless Pacemaker System Or Implantable Defibrillator System, Remote Up to 90 Days93296 | 126 | $20 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 51 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 837 | 225 |
| Carvedilol | 664 | 161 |
| Sacubitril/Valsartanbrand: Entresto | 624 | 104 |
| Empagliflozinbrand: Jardiance | 601 | 103 |
| Apixabanbrand: Eliquis | 482 | 75 |
| Metoprolol Succinate | 468 | 123 |
| Warfarin Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$394 across 18 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
Additional practice locations (1)
- 2965 N Main St Ste EDecatur, IL 62526-4392Phone: (217) 422-6100
Registry dates
- Enumerated
- 2006-01-06
- Last updated
- 2021-12-20
- Certified
- 2021-12-20
Frequently asked questions
- What is Theodore Addai's NPI number?
- Theodore Addai's National Provider Identifier (NPI) is 1912985185, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Addai's specialty?
- Theodore Addai is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Addai located?
- Theodore Addai's practice location on file with NPPES is 1770 E Lake Shore Dr Ste 105, Decatur, IL 62521-3800.
- What is Theodore Addai's phone number?
- The practice phone number listed in the NPPES registry for Theodore Addai is (217) 422-6100.
- Does Theodore Addai accept Medicare?
- Theodore Addai is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Addai's NPI active?
- Yes — Theodore Addai's NPI (1912985185) is active in the NPPES registry as of the last update on 2021-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.