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MICHAEL BOULOS M.D. NPI 1083618581


NPI Information

NPI: 1083618581
Provider Name: MICHAEL BOULOS, M.D.
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
7250 CLEARVISTA DR
STE 120
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 621-5676
Get Directions

Michael Boulos, M.D. is a critical care medicine internal medicine in Indianapolis, IN with 31 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Michael Boulos, M.D. NPI is 1083618581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7250 CLEARVISTA DR
STE 120
INDIANAPOLIS, IN
ZIP 46256-640
Phone: (317) 621-5676
Fax: (317) 621-5678

The NPI 1083618581 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), Power Mobility Devices.

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.

  • Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)
  • Emergent insertion of breathing tube into windpipe cartilage using an endoscope (HCPCS:31500)

The enumeration date for this NPI number is 6/13/2005 and was last updated on 11/25/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care Medicine01054000AINDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200420800AMEDICAIDINDIANA
2251320BBBMEDICARE PININDIANA
3H35323MEDICARE UPININDIANA
4P01214629OTHERINDIANARR MEDICARE PTAN
5266180131MEDICARE PININDIANA
6675230OMEDICARE ID-TYPE UNSPECIFIEDINDIANA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.