DR. ADEL BOUTROS MD NPI 1700952827

NPI Information

  • NPI: 1700952827
  • Provider Name: DR. ADEL BOUTROS, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • CLIA Number: 05D0897771
  • Address: 22611 LAKE FOREST DR
    LAKE FOREST, CA
    ZIP 92630
  • Phone: (949) 951-9399

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NPI Details

DR. Adel Boutros, MD is a family medicine in Lake Forest, CA with 46 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Adel Boutros, MD NPI is 1700952827. 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:

22611 LAKE FOREST DR
LAKE FOREST, CA
ZIP 92630-700
Phone: (949) 951-9399
Fax: (949) 951-9403

The CLIA number assigned to this NPI record is 05D0897771 - physician office with a certificate type of Certificate of Waiver.

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 25 minutes (HCPCS:99232)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes (HCPCS:99334)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)

The enumeration date for this NPI number is 11/28/2006 and was last updated on 7/9/2007.

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
1207Q00000XFamily MedicineA47792CALIFORNIAYes

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
1A47792AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE NUMBER
2E92511MEDICARE UPINCALIFORNIA
300A477921MEDICAIDCALIFORNIA
4A47792OTHERCALIFORNIASTATE LICENSE

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: 11/21/2025

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