NPIMap

Individual provider Active NPI

Lewis Arnold Diulus III, MD

  • Plastic Surgery Physician
  • Akron, OH
National Provider Identifier
1265632707
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35.089933 Issued in OH
Practice address
3925 Embassy Pkwy
Suite 300
Akron, OH 44333-1782
Phone
(330) 668-4040
NPI assigned
Jul 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.089933 OH
Plastic Surgery Physician 208200000X 35.089933 OH Primary

Addresses

Primary practice location

3925 Embassy Pkwy
Suite 300
Akron, OH 44333-1782

Mailing address

3975 Embassy Pkwy
Akron, OH 44333-8320

Other identifiers 1

IdentifierTypeStateIssuer
0102367MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140529002088 OH Practitioner - Plastic and Reconstructive Surgery 6305020165 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Boston University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal Clinic, Inc.Group PAC ID 7214821586, 46 clinicians

Practice addresses (Care Compare)

1310 Corporate Dr
Hudson, OH 44236-4430
Phone (330) 475-1631

3925 Embassy Pkwy
Suite 300
Akron, OH 44333-1799
Phone (330) 668-4065

3975 Embassy Pkwy
Suite 202
Akron, OH 44333-8395
Phone (330) 668-4085

4466 Fulton Dr NW
Canton, OH 44718-2864
Phone (833) 334-9007

Hospital & facility affiliations

  • Crystal Clinic Orthopaedic Center Hospital, Akron, OH, CCN 360351
  • Summa Health System Hospital, Akron, OH, CCN 360020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision24
Removal of skin lesions1-10
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.089933OHMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Oct 19, 2019 Accepting new patients
Crystal Clinic Inc CurrentSince Jul 1, 2014 Accepting new patients
Summa Physicians LLC CurrentSince Oct 19, 2019 Accepting new patients
Crystal Clinic, Inc. Plastic Surgery CurrentSince Jul 1, 2014 Accepting new patients
Crystal Clinic Orthopaedic Center, LLC Past Accepting new patients

Locations

161 N Forge St
Ste 190
Akron, OH 44304
Phone (330) 375-3557

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

3975 Embassy Pkwy
Akron, OH 44333
Phone (330) 670-4242

3925 Embassy Pkwy
Ste 300
Akron, OH 44333
Phone (330) 668-4065

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

437 Portage Trl
Cuyahoga Fls, OH 44221
Phone (330) 929-9136

1622 E Turkeyfoot Lake Rd
Ste 200
Green, OH 44312
Phone (330) 644-7436

1310 Corporate Dr
Hudson, OH 44236
Phone (330) 344-3030

Organizations & group practices 6

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

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1265632707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 EMBASSY PKWY",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 EMBASSY PKWY",
            "address_2": "SUITE 300",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443331782",
            "telephone_number": "330-668-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIULUS",
        "first_name": "LEWIS",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.089933",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35.089933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102367",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.