Individual provider Active NPI

Christopher E Touloukian, MD

  • Surgical Oncology Physician
  • Lake Mary, FL
National Provider Identifier
1508818121
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
ME172773 Issued in FL
Practice address
4106 W Lake Mary Blvd Ste 213
Lake Mary, FL 32746-2403
Phone
(321) 843-2100
Fax
(321) 842-3498
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1059865A IN
Surgery Physician 208600000X 01059865A IN
General Practice Physician 208D00000X 277027 NY
Surgical Oncology Physician 2086X0206X ME172773 FL Primary

Addresses

Primary practice location

4106 W Lake Mary Blvd Ste 213
Lake Mary, FL 32746-2403

Mailing address

4106 W Lake Mary Blvd Ste 213
Lake Mary, FL 32746-2403
Phone (321) 843-2100

Other practice location 1

545 Barnhill Dr EH 5th Floor
University Surgeons Inc
Indpls, IN 46202-5125
Phone (317) 274-4122

Other identifiers 1

IdentifierTypeStateIssuer
200380910MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MA, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150218000562 NY Practitioner - Surgical OncologyPractitioner - General Surgery 9335194166 Reassigns benefits to 2 organizations
I20170901002483 MA Practitioner - General Surgery 9335194166 Reassigns benefits to 2 organizations
I20250324001532 FL Practitioner - Surgical Oncology 9335194166 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1059865AINMDSpecialist
01059865AINMDSurgery Physician
ME172773FLMDSurgical Oncology Physician
277027NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amboy Medical Practice PC CurrentSince Oct 18, 2023 Accepting new patients
Heritage Wound Care LLC CurrentSince Oct 1, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 10, 2025 Accepting new patients
Amboy Medical Practice PC Surgery CurrentSince Oct 18, 2023 Accepting new patients
Fairview Hospital CurrentSince Jul 1, 2017 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Mar 10, 2025 Accepting new patients
Berkshire Faculty Services Inc CurrentSince Jul 1, 2017 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Jan 5, 2026 Accepting new patients
Canton Potsdam Hospital PastSince Aug 25, 2014 Accepting new patients
University General Surgeons, Inc. Surgery Past Accepting new patients
University Surgeons, Inc. Specialist Past Accepting new patients

Locations

4106 W Lake Mary Blvd
Ste 213
Lake Mary, FL 32746
Phone (321) 843-2100

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

464 Main St
Agawam, MA 01001
Phone (413) 333-2200

65 Cooper St
Agawam, MA 01001
Phone 41378680002

61 Cooper St
Agawam, MA 01001
Phone (413) 294-6800

55 Cooper St
Agawam, MA 01001
Phone (413) 333-2400

89 Morton St
Andover, MA 01810
Phone (978) 475-0944

400 Groton Rd
Ayer, MA 01432
Phone (508) 772-1704

1748 Highland Ave
Fall River, MA 02720
Phone (508) 730-1070

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

76 North St
Middleboro, MA 02346
Phone (508) 947-4774

1801 Turnpike St
North Andover, MA 01845
Phone (978) 454-8086

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

146 Dean St
Taunton, MA 02780
Phone (508) 823-0767

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

325 Claremont Ave
Ste 2
Montclair, NJ 07042
Phone (973) 783-2800

1 Elsie St
Rome, NY 13440
Phone (315) 336-4435

360 Bard Ave
Lowr
Staten Island, NY 10310
Phone (718) 818-2186

355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

Interoperability endpoints

  • Direct secure messaging: christophertouloukian@bfs.medalliesdirect.net
  • Direct secure messaging: ctouloukian1608789@nychhc.direct-ci.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1508818121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 W LAKE MARY BLVD STE 213",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462403",
            "telephone_number": "321-843-2100",
            "fax_number": "321-842-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 W LAKE MARY BLVD STE 213",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462403",
            "telephone_number": "321-843-2100",
            "fax_number": "321-842-3498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Barnhill Dr EH 5th Floor",
            "address_2": "University Surgeons Inc",
            "address_purpose": "LOCATION",
            "city": "Indpls",
            "state": "IN",
            "postal_code": "462025125",
            "country_code": "US",
            "telephone_number": "317-274-4122",
            "fax_number": "317-274-0241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOULOUKIAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "1059865A",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01059865A",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "277027",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME172773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200380910",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.