Individual provider Active NPI

Theodore M Pappas, M.D.

  • Family Medicine Physician
  • Charleston, SC
National Provider Identifier
1629086004
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15938 Issued in SC
Practice address
1401 Sam Rittenberg Blvd Ste 6
Charleston, SC 29407-5031
Phone
(843) 973-5393
Fax
(833) 994-1098
NPI assigned
Aug 3, 2006
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15938 SC Primary

Addresses

Primary practice location

1401 Sam Rittenberg Blvd Ste 6
Charleston, SC 29407-5031

Mailing address

1401 Sam Rittenberg Blvd Ste 6
Charleston, SC 29407-5031
Phone (843) 973-5393

Other identifiers 2

IdentifierTypeStateIssuer
S1251087OtherSCMEDICARE
15938MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address theodore.pappas.2@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000047 SC Practitioner - Family Practice 0547229528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1401 Sam Rittenberg Blvd
Suite 6
Charleston, SC 29407-5031
Phone (843) 973-5393

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15938SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (SC) PC Family Medicine CurrentSince Aug 18, 2025 Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Centerwell Senior Primary Care (SC) PC Family Medicine CurrentSince Aug 18, 2025 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Jan 17, 2011 Accepting new patients
Roper Saint Francis Physicians Network Family Medicine CurrentSince Jan 17, 2011 Accepting new patients
St Lukes Family Practice Family Medicine Current Accepting new patients
Northwoods Family Practice, LLC. Family Medicine Past Accepting new patients
Centerwell Senior Primary Care SC JV PC Family Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

108 Highway 28 Byp
Anderson, SC 29624
Phone (864) 296-5208

1401 Sam Rittenberg Blvd
Ste 6
Charleston, SC 29407
Phone (843) 973-5393

1400 Hospital Dr
Mt Pleasant, SC 29464
Phone (843) 884-0301

1435 Stuart Engals Blvd
Mt Pleasant, SC 29464
Phone (843) 884-9796

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: theodore.pappas.1@29601.direct.athenahealth.com
  • Direct secure messaging: theodore.pappas.2@29601.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1629086004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SAM RITTENBERG BLVD STE 6",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075031",
            "telephone_number": "843-973-5393",
            "fax_number": "833-994-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SAM RITTENBERG BLVD STE 6",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075031",
            "telephone_number": "843-973-5393",
            "fax_number": "833-994-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPPAS",
        "first_name": "THEODORE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "15938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "S1251087",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15938",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "theodore.pappas.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "theodore.pappas.2@29601.direct.athenahealth.com",
            "address_1": "1401 Sam Rittenberg Blvd Ste 6",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294075031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.