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MALA THENAPPAN MD
NPI 1861447427
Surgery in Milwaukee, WI

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3070 N 51ST ST, SUITE 100, MILWAUKEE, WI 53210(414) 875-9950(414) 447-2575 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mala Thenappan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALA THENAPPAN MD (NPI 1861447427) is an individual surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (36822-020) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Mercy Walworth Hospital & Medical Center, and is a graduate of Medical College Of Wisconsin (1993).

NPPES Registry Identity

NPI1861447427
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameMALA THENAPPANCredential: MD
Location Address3070 N 51ST ST, SUITE 100Milwaukee, WI 53210-1645
Mailing Address3070 N 51st St, Suite 100Milwaukee, WI 53210-1645 · (414) 875-9950 · Fax (414) 447-2575
Phone(414) 875-9950
Fax(414) 447-2575
Sole ProprietorYes
Medical School CMSMedical College Of WisconsinGraduated 1993
Enumeration DateMay 23, 2006
Last NPPES UpdateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1861447427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WI · 36822-020
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3070 N 51ST ST, Milwaukee, WI 53210
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Other Identifiers 1

Medicaid32430500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, MercyCare Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mala Thenappan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577556679
PECOS Enrollment IDI20040405001661
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Walworth Hospital & Medical Center

Critical Access Hospitals · Lake Geneva, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521357
LocationN2950 State Road 67Lake Geneva, WI 53147 · Walworth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH C. BATTISTA MD SC
Surgery
3070 N 51ST ST
MILWAUKEE, WI 53210
Milwaukee County (414) 871-9500
MICHAEL R. SWEEN PA
Physician Assistant (Medical)
3070 N 51ST ST, #406
MILWAUKEE, WI 53210
Milwaukee County (414) 447-5040
RICHARD A STELIGA MD SC
Surgery
3070 N 51ST ST, STE 405
MILWAUKEE, WI 53210
Milwaukee County (414) 871-8888
EMAD BOTROS, M.D., S.C.
Internal Medicine (Pulmonary Disease)
3070 N 51ST ST, SUITE 402
MILWAUKEE, WI 53210
Milwaukee County (414) 871-2673
DR. MARTA VIVIANA THAKKAR M.D.
Pediatrics (Neonatal-Perinatal Medicine)
3070 N 51ST ST, STE P309
MILWAUKEE, WI 53210
Milwaukee County (414) 447-2674
ADVANCED HEALTHCARE, S.C.
Durable Medical Equipment & Medical Supplies
3070 N 51ST ST
MILWAUKEE, WI 53210
Milwaukee County (414) 873-7768
THOMAS H MAHN MD
Internal Medicine (Interventional Cardiology)
3070 N 51ST ST, SUITE 106
MILWAUKEE, WI 53210
Milwaukee County (414) 442-9911
MARTA V THAKKAR, MD,SC
Pediatrics (Neonatal-Perinatal Medicine)
3070 N 51ST ST, P309
MILWAUKEE, WI 53210
Milwaukee County (414) 447-2764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mala Thenappan's NPI number?

The NPI number for Mala Thenappan is 1861447427. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Mala Thenappan located?

Mala Thenappan practices at 3070 N 51st St Suite 100, Milwaukee, WI 53210. The listed phone number is (414) 875-9950.

What is Mala Thenappan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mala Thenappan enrolled in Medicare?

Yes. Mala Thenappan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mala Thenappan accept?

Health plans from CareSource (Common Ground Healthcare), Group Health Cooperative-SCW, MercyCare Health Plans, Network Health and Security Health Plan list Mala Thenappan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mala Thenappan affiliated with any hospitals?

According to CMS data, Mala Thenappan is affiliated with Mercy Walworth Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Mala Thenappan was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.