Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1740237320 Deactivated / Inactive NPI Male Practitioner

Dr. Clinton N Koufman , MD

Surgery • Brookline, MA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Clinton Koufman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 28, 2006
NPI Deactivation Date March 01, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Clinton Koufman, MD was a registered Surgery practicing in Brookline, MA. Throughout an active medical career spanning 15 years, Dr. Koufman provided care at the practice location at 1180 BEACON ST until profile deactivation on 2021-03-01.

Practice Location & Contact Primary Location

Practice Address

1180 Beacon St

Brookline, MA 024463885

Telephone 6175663535
Associated Practice Facility / Clinic
🏢 Biocardia Diagnostics Inc Facility NPI 1467423038

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Brookline, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.2 Yrs
State Avg: 28.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Brookline, MA (1077 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 24834

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Mark Kaplan , MD

Obstetrics & Gynecology - Gynecology

NPI 1003841198

Doctor of Medicine (M.D.)

NPI 1003842543

Doctor of Medicine (M.D.)

NPI 1013175686

Doctor of Medicine (M.D.)

Dr. Johnelle Smith , MD

Physical Medicine & Rehabilitation

NPI 1023314143

Doctor of Medicine (M.D.)

NPI 1033134945

Doctor of Dental Medicine

Dr. Rimma Kovalcik , PsyD

Psychologist - Clinical

NPI 1033215173

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated March 01, 2021

Record deactivated on March 01, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1180 BEACON ST, BROOKLINE, MA 024463885 (Tel: 6175663535)

📍
Updated Business Mailing Address July 08, 2007

Registered at 136 WILLARD RD, BROOKLINE, MA 024454130 (Tel: 6175663535)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CLINTON KOUFMAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #24834 in MA)

🟢
Initial NPI Registration & Enumeration May 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Clinton Koufman. Be the first to share your experience!

Sign in to leave a review for Dr. Clinton Koufman

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1740237320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2006
Last Update: July 08, 2007
Deactivation Date: March 01, 2021

Mailing Address

136 Willard Rd

Brookline, MA 024454130

Phone: 6175663535

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.