Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Theofanis Kalathas, MD

Individual provider Medical Physician Assistant · NPI 1477042737

Theofanis Kalathas, MD is an Internal Medicine in Brockport, New York. Qualified in 2017, 9 years ago. Practices with University of Rochester, a 962-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

156 W Ave Fl 2
Brockport, NY 14420-1229
Phone: (585) 758-7557
Fax: (585) 637-5626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 311359 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 311359 (NY)

Record details

NPI number1477042737
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2018
Last updated in NPPESJuly 7, 2023
Certification dateJune 26, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Of Rochester — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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