Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Paul A Thodiyil, MD, FRCS, FACS

Individual provider Surgery Physician · NPI 1619104502

Paul A Thodiyil, MD, FRCS, FACS is a General Surgery in Brooklyn, New York. Qualified in 1987, 39 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
39
Licensed in
NY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
FACS — Fellow of the American College of Surgeons
A surgeon admitted as a fellow of the ACS.

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Practice location Address checks out

9920 4th Ave Ste 210
Brooklyn, NY 11209-8333
Phone: (718) 836-4258
Fax: (718) 836-4340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 253077 (NY)

Record details

NPI number1619104502
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FRCS , FACS
Sole proprietorNo
NPI enumeratedJune 17, 2009
Last updated in NPPESNovember 28, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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