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JASON PETER BOULWARE D.O.
NPI 1013211168
Emergency Medicine in Bronx, NY

Active since January 04, 2011PECOS EnrolledAccepts Medicare Assignment
2353 HUGHES AVE, APT 1A, BRONX, NY 10458(646) 737-4364 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, May 5, 2026, Apr 21, 2026 and 2 more (5 updates tracked since 2020).

About Jason Peter Boulware D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON PETER BOULWARE D.O. (NPI 1013211168) is an individual emergency medicine provider in Bronx, New York, licensed in New York (259532-1) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Southcoast Hospitals Group, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1013211168
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJASON PETER BOULWARECredential: D.O.
Location Address2353 HUGHES AVE, APT 1ABronx, NY 10458-8267
Mailing Address515 Valley St Ste 203Maplewood, NJ 07040-4300 · (908) 663-2929
Phone(646) 737-4364
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 4, 2011
Last NPPES UpdateMay 18, 20265 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1013211168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 259532-1✔ Licensed in NJ · 25MB09297500✔ Licensed in RI · DO00706✔ Licensed in MA · 286222✔ Licensed in CA · 24237
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2353 HUGHES AVE, Bronx, NY 10458
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Secondary Practice Locations 3

Location 12740 Fulton Ave Ste 220Sacramento, CA 95821-5186 · Phone (908) 663-2929 · Fax (908) 934-9564
Location 2455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546
Location 3363 Highland AveFall River, MA 02720-3703 · Phone (508) 973-7041 · Fax (508) 973-7678

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Peter Boulware D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628236387
PECOS Enrollment IDI20120227000387, I20121024000165, I20130624000121, I20200814002710
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
557 services538 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
512 services483 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
152 services146 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
135 services134 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services54 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
35 services35 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southcoast Hospitals Group

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220074
Location363 Highland AvenueFall River, MA 02720 · Bristol County
Emergency services Birthing friendly

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Boulware's NPI number?

The NPI number for Jason Boulware is 1013211168. It was assigned to this individual provider in the NPPES registry on January 4, 2011.

Where is Jason Boulware located?

Jason Boulware practices at 2353 Hughes Ave Apt 1A, Bronx, NY 10458. The listed phone number is (646) 737-4364.

What is Jason Boulware's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jason Boulware enrolled in Medicare?

Yes. Jason Boulware is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jason Boulware affiliated with any hospitals?

According to CMS data, Jason Boulware is affiliated with Southcoast Hospitals Group and Kent County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jason Boulware was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.