Individual provider Active NPI

Theodore Raymond Lui

  • Student in an Organized Health Care Education/Training Program
  • Boston, MA
National Provider Identifier
1811523798
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
750 Albany St # 2R
Boston, MA 02118-2520
Phone
(617) 638-6975
Fax
(617) 638-6959
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

750 Albany St # 2R
Boston, MA 02118-2520

Mailing address

750 Albany St # 2R
Boston, MA 02118-2520
Phone (617) 638-6975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240718004160 MA Practitioner - Anesthesiology 5799196481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Tufts University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winchester Anesthesia Associates 2 IncGroup PAC ID 2264848977, 13 clinicians
Winchester Anesthesia Associates, IncGroup PAC ID 7315977196, 64 clinicians

Practice addresses (Care Compare)

41 Highland Ave
Winchester, MA 01890-1446
Phone (781) 756-2190

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Anesthesia Associates 2 Inc CurrentSince Jul 1, 2024 Accepting new patients
Winchester Anesthesia Associates, Inc CurrentSince Jul 1, 2024 Accepting new patients
Boston University Medical Center Anesthesiologists, Inc. PastSince Mar 29, 2020 Accepting new patients

Locations

41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000

Organizations & group practices 3

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 1

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1811523798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ALBANY ST # 2R",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182520",
            "telephone_number": "617-638-6975",
            "fax_number": "617-638-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 ALBANY ST # 2R",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182520",
            "telephone_number": "617-638-6975",
            "fax_number": "617-638-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUI",
        "first_name": "THEODORE",
        "middle_name": "RAYMOND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.