DR. KONSTANTINOS D BOUDOULAS M.D. NPI 1003976507

NPI Information

  • NPI: 1003976507
  • Provider Name: DR. KONSTANTINOS D BOUDOULAS, M.D.
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 410 W 10TH AVE FL 1
    COLUMBUS, OH
    ZIP 43210
  • Phone: (614) 293-7677

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NPI Details

DR. Konstantinos D Boudoulas, M.D. is an interventional cardiology internal medicine in Columbus, OH with 24 years of experience. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. DR. Konstantinos D Boudoulas, M.D. NPI is 1003976507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2001

The provider's business location address is:

410 W 10TH AVE FL 1
COLUMBUS, OH
ZIP 43210-240
Phone: (614) 293-7677
Fax: (614) 293-1456

The NPI 1003976507 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Replacement of aortic valve through the skin and femoral artery (HCPCS:33361)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch (HCPCS:92928)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Insertion of tube in right heart chambers for measurement (HCPCS:93451)
  • Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist (HCPCS:93459)
  • Coronary angioplasty and stenting (HCPCS:NAN05)

The enumeration date for this NPI number is 12/12/2006 and was last updated on 5/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease35.094280OHIONo
2207RI0011XInternal MedicineInterventional Cardiology35094280OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12997119MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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