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Deactivated NPI 1265539464 Deactivated / Inactive NPI Male Practitioner

Dr. Lutfi T Tombuloglu , MD

General Practice • Greenfield, WI

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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. Lutfi Tombuloglu has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2006
NPI Deactivation Date July 21, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Lutfi Tombuloglu, MD was a registered General Practice practicing in Greenfield, WI. Throughout an active medical career spanning 16 years, Dr. Tombuloglu provided care at the practice location at 4325 S 60TH ST until profile deactivation on 2022-07-21.

Practice Location & Contact Primary Location

Practice Address

4325 S 60th St

Greenfield, WI 53220

Telephone 4145455500
Fax 4145455500
Associated Practice Facility / Clinic
🏢 Horizon Healthcare, Inc Facility NPI 1043234628

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Greenfield, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 58.0 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Greenfield, WI (130 Statewide)

Telehealth Adoption Rate
0.0% 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WI 17161020

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1811083009

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 July 21, 2022

Record deactivated on July 21, 2022

NPI Profile Active November 04, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 04, 2011

Registered at 4325 S 60TH ST, GREENFIELD, WI 53220 (Tel: 4145455500)

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Updated Business Mailing Address November 04, 2011

Registered at 4325 S 60TH ST, GREENFIELD, WI 53220 (Tel: 4145455500)

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Provider Name / Credentials Updated November 04, 2011

Recorded as LUTFI TOMBULOGLU, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2011

General Practice (License #17161020 in WI)

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Initial NPI Registration & Enumeration September 20, 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: 1265539464
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: November 04, 2011
Deactivation Date: July 21, 2022

Mailing Address

4325 S 60th St

Greenfield, WI 53220

Phone: 4145455500

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

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