Individual provider Active NPI

Theadore A Hufford Jr., MD

  • Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1366701229
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
292811 Issued in NY
Practice address
9413 Flatlands Ave Ste 201
Brooklyn, NY 11236-3726
Phone
(718) 240-8446
Fax
(718) 240-5808
NPI assigned
May 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036138222 IL
Surgery Physician 208600000X 35.130486 OH
Surgery Physician 208600000X 292811 NY Primary

Addresses

Primary practice location

9413 Flatlands Ave Ste 201
Brooklyn, NY 11236-3726

Mailing address

1 Brookdale PLZ Ste 666
Brooklyn, NY 11212-3139
Phone (718) 240-7143

Other practice location 1

2 Saint Anthonys Way
Alton, IL 62002-4569
Phone (618) 465-9024

Other practice location 2

1 Brookdale Plz Ste 222
Brooklyn, NY 11212-3139
Phone (718) 240-6213

Other practice location 3

9500 Euclid Ave # M-61
Cleveland, OH 44195-5147
Phone (216) 444-9244

Other identifiers 1

IdentifierTypeStateIssuer
292811OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180814000985 NY Practitioner - General Surgery 7618274457 Reassigns benefits to 3 organizations
I20260304001864 IL Practitioner - General Surgery 7618274457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wright State University Boonshoft School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Prime Healthcare Illinois Medical Group LLCGroup PAC ID 5597275685, 278 clinicians

Practice addresses (Care Compare)

2 Saint Anthonys Way
Suite 305
Alton, IL 62002-4569
Phone (618) 465-9024

355 Ridge Ave
Evanston, IL 60202-3328
Phone (847) 316-4000

Hospital & facility affiliations

  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Osf Saint Anthony'S Health Center Hospital, Alton, IL, CCN 140052

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292811NYMDSurgery Physician
35.130486OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of Ny, PLLC CurrentSince Feb 9, 2026 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Aug 14, 2019 Accepting new patients
Osf Multi-Specialty Group CurrentSince Feb 20, 2026 Accepting new patients
Interfaith Professional Physician Services, P.C. Surgery CurrentSince Jun 1, 2024 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Aug 14, 2019 Accepting new patients

Locations

2 Saint Anthonys Way
Ste 305
Alton, IL 62002
Phone (618) 462-2222

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

9413 Flatlands Ave
Ste 201
Brooklyn, NY 11236
Phone (718) 240-8446

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1 Brookdale Plz
Ste 222
Brooklyn, NY 11212
Phone (718) 240-5960

1 Brookdale Plz
Ste 666
Brooklyn, NY 11212

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1366701229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BROOKDALE PLZ STE 666",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123139",
            "telephone_number": "718-240-7143",
            "fax_number": "718-240-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9413 FLATLANDS AVE STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363726",
            "telephone_number": "718-240-8446",
            "fax_number": "718-240-5808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Saint Anthonys Way",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620024569",
            "country_code": "US",
            "telephone_number": "618-465-9024",
            "fax_number": "618-462-6828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Brookdale Plz Ste 222",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112123139",
            "country_code": "US",
            "telephone_number": "718-240-6213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9500 Euclid Ave # M-61",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441955147",
            "country_code": "US",
            "telephone_number": "216-444-9244",
            "fax_number": "216-445-1586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUFFORD",
        "first_name": "THEADORE",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036138222",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.130486",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "292811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "292811",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.