THEODORE K MLAPAH (M.D.) – Internal Medicine Physician, NPI 1811929342
Internal Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,252 HOSPITALIST in MA
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Provider Addresses for THEODORE K MLAPAH (M.D.)
Holyoke Medical Center, 575, Beech Street, Elmwood, Oakdale, Holyoke, Hampden County, Massachusetts, 01040, United States
HOLYOKE MEDICAL CENTER
HOLYOKE, MA 01040
Phone: (413) 534-2500
Fax: (413) 540-5055
Type: Location
289, Tanglewood Drive, Longmeadow, Hampden County, Massachusetts, 01106, United States
APT# 5
LONGMEADOW, MA 011061652
Phone: (413) 205-9702
Fax: (413) 540-5055
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $152.
Total Amount is formed as General ($152) + Research ($0) + Ownership ($0) = $152.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: PFIZER INC. ($81).
Total Amount
$152
General + Research + Ownership
Payments
7
Total payment records
General Amount
$152
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $81 |
| Inari Medical, Inc. | $70 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070109000202 | I | Hospitalist | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 740 | 263 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 219 | 206 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 65 | 64 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 63 | 46 | $0 |
| G0180 | 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 | 53 | 52 | $0 |
Insurance plans in this area (ZIP 01040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | MA | |
| N E U R O L O G Y | MA | |
| A N E S T H E S I O L O G Y | MA | |
| General Surgery | MA | |
| Diagnostic Radiology | OR | |
| Hospitalist, Internal Medicine | NY | |
| Physician Assistant | MA | |
| Hospitalist, Family Practice | IL | |
| A N E S T H E S I O L O G Y | MA |
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