Lydia L Klufas, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

8614 Issued in RI

Practice address

525 Broad St
Suite 201
Cumberland, RI 02864-6919

Phone

(401) 724-7800

Fax

(401) 727-0342

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

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

Specialty

Dermatology

Education

Perelman School of Med at the University of Pennsylvania, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan M Bordonaro, DCNP

  • Nurse Practitioner
  • Middletown, RI
  • NPI 1366547358
  Medicare reassignment

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

• Lydia L. Klufas MD

  • Specialist
  • Cumberland, RI
  • NPI 1477715209
  Authorized official Same address or phone

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952406951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 BROAD ST",
            "address_2": "SUITE 201",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028646919",
            "telephone_number": "401-724-7800",
            "fax_number": "401-727-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 BROAD ST",
            "address_2": "SUITE 201",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028646919",
            "telephone_number": "401-724-7800",
            "fax_number": "401-727-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUFAS",
        "first_name": "LYDIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "RI",
            "license": "8614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020287",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florence Killi
• Minjung Kim, DMD
• King Family Trust
• Klufas and Price Medical Associates, Inc
• Lydia Ann Klufas, DDS
• Michael Klufas, MD
• KM Counseling and Consultant Services Inc
• Lisa Christine Knight, LICSW
• Paula Ann Kochanek, LMT
• Koh, Inc.

• Specialist in Cumberland, RI
• Providers in Cumberland, RI by specialty
• Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.