PETER BOULOS M.D.
NPI 1013375724
Internal Medicine - Interventional Cardiology in Lafayette, CO

Q: What is Peter Boulos's NPI number?

The NPI number for Peter Boulos is 1013375724. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Q: What is Peter Boulos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Peter Boulos was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since February 09, 2016PECOS EnrolledAccepts Medicare Assignment

200 EXEMPLA CIR STE 310, LAFAYETTE, CO 80026(303) 689-6420 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2025, Jun 27, 2025, Feb 2, 2022 and 5 more (8 updates tracked since 2016).

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About Peter Boulos M.d. NPPES

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

PETER BOULOS M.D. (NPI 1013375724) is an individual interventional cardiology provider in Lafayette, Colorado, licensed in Colorado (DR.0064228) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brighton, and is a graduate of University Of Colorado School Of Medicine, Denver (2016).

NPPES Registry Identity

NPI1013375724

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NamePETER BOULOSCredential: M.D.

Location Address200 EXEMPLA CIR STE 310Lafayette, CO 80026-3370

Mailing Address500 Eldorado Blvd Ste 4300Broomfield, CO 80021-3564

Phone(303) 689-6420

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2016

Enumeration DateFebruary 9, 2016

Last NPPES UpdateNovember 7, 20258 updates tracked since enumeration

NPPES CertifiedNovember 7, 2025

✔ NPI 1013375724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in CO · DR.0064228

Definition

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.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License DR.0064228 (CO)

200 EXEMPLA CIR STE 310, Lafayette, CO 80026

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Secondary Practice Location 1

Location 11610 Prairie Center Pkwy Ste 2330Brighton, CO 80601-4003 · Phone (303) 272-0500 · Fax (303) 654-9895

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

Peter Boulos M.d. 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 ID8527353325

PECOS Enrollment IDI20220211000156

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80026 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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 Peter Boulos's NPI number?

The NPI number for Peter Boulos is 1013375724. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Where is Peter Boulos located?

Peter Boulos practices at 200 Exempla Cir Ste 310, Lafayette, CO 80026. The listed phone number is (303) 689-6420.

What is Peter Boulos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Peter Boulos enrolled in Medicare?

Yes. Peter Boulos 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.

When was this NPI record last updated?

The NPPES record for Peter Boulos was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.