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Deactivated NPI 1053384420 Deactivated / Inactive NPI Male Practitioner

Dr. Theophilus Lewis , MD

Surgery • Brooklyn, NY

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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. Theophilus Lewis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 08, 2006
NPI Deactivation Date December 09, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Theophilus Lewis, MD was a registered Surgery practicing in Brooklyn, NY. Throughout an active medical career spanning 13 years, Dr. Lewis provided care at the practice location at 451 CLARKSON AVE until profile deactivation on 2019-12-09.

Practice Location & Contact Primary Location

Practice Address

451 Clarkson Ave
Rm B4101

Brooklyn, NY 112032057

Telephone 7182454146
Fax 7182453011
Associated Practice Facility / Clinic
🏢 Kings County Hospital Facility NPI 1013996560

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.7 Yrs
State Avg: 27.8 Yrs
Regional Practice Density
216 Specialists

Practicing in Brooklyn, NY (2269 Statewide)

Telehealth Adoption Rate
4.6% 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 NY 141168

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

5 Associated Practitioners
NPI 1235169087

Doctor of Medicine (M.D.)

Dr. Henry Talus , MD

Colon & Rectal Surgery

NPI 1285650655

Doctor of Medicine (M.D.)

Dr. Bienvenido Jongco , MD

Surgery - Pediatric Surgery

NPI 1588728992

Doctor of Medicine (M.D.)

NPI 1588815849

Doctor of Medicine (M.D.)

NPI 1629054796

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 09, 2019

Record deactivated on December 09, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 451 CLARKSON AVE, RM B4101, BROOKLYN, NY 112032057 (Tel: 7182454146)

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Updated Business Mailing Address July 08, 2007

Registered at 451 CLARKSON AVE, RM B4101, BROOKLYN, NY 112032057 (Tel: 7182454146)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THEOPHILUS LEWIS, M.D.

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

Surgery (License #141168 in NY)

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Initial NPI Registration & Enumeration February 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053384420
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2006
Last Update: July 08, 2007
Deactivation Date: December 09, 2019

Mailing Address

451 Clarkson Ave, Rm B4101

Brooklyn, NY 112032057

Phone: 7182454146

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.