HENDA BOUALI MD
NPI 1053495465
Internal Medicine - Rheumatology in Vestal, NY

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
84.63/100
CMS Quality Rating
4417 VESTAL PARKWAY EAST, SUITE 202, VESTAL, NY 13850(607) 770-7365(607) 729-5882 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Henda Bouali Md NPPES

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

HENDA BOUALI MD (NPI 1053495465) is an individual rheumatology provider in Vestal, New York, licensed in New York (246796) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Chenango Memorial Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1053495465
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameHENDA BOUALICredential: MD
Location Address4417 VESTAL PARKWAY EAST, SUITE 202Vestal, NY 13850-3556
Mailing Address346 Grand AveJohnson City, NY 13790-2580 · (607) 729-8156 · Fax (607) 729-3982
Fax(607) 729-5882
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 24, 2006
Last NPPES UpdateSeptember 19, 2012
NPI 1053495465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in NY · 246796
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4417 VESTAL PARKWAY EAST, Vestal, NY 13850

Other Identifiers 3

Medicare PINJ400059309NY
Medicaid02940054NY
Medicare PINRB6541NY

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

Henda Bouali Md 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 ID648351080
PECOS Enrollment IDI20080111000262
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
208 services114 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
59 services59 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.
30 services27 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
15 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Chenango Memorial Hospital

Acute Care Hospitals · Norwich, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330033
Location179 North Broad StreetNorwich, NY 13815 · Chenango County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Delaware Valley Hospital, Inc

Critical Access Hospitals · Walton, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331312
Location1 Titus PlaceWalton, NY 13856 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13850 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
66%580 patients3/55-star benchmark: 92%
Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 13% · 150 patients
Patients 4MonthsOfStart: 11% · 74 patients
8%97 patients
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
65%630 patients3/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
67%630 patients3/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
4417 VESTAL PARKWAY EAST, SUITE 201
VESTAL, NY 13850
Family Medicine
4417 VESTAL PARKWAY EAST
VESTAL, NY 13850
Family Medicine
4417 VESTAL PARKWAY EAST
VESTAL, NY 13850
Pharmacist
4417 VESTAL PARKWAY EAST
VESTAL, NY 13850
Internal Medicine
4417 VESTAL PARKWAY EAST
VESTAL, NY 13850
Obstetrics & Gynecology (Gynecology)
4417 VESTAL PARKWAY EAST, SUITE 301
VESTAL, NY 13850
Internal Medicine
4417 VESTAL PARKWAY EAST, SUITE 201
VESTAL, NY 13850
Nurse Practitioner (Family)
4417 VESTAL PARKWAY EAST
VESTAL, NY 13850

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 Henda Bouali's NPI number?

The NPI number for Henda Bouali is 1053495465. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Henda Bouali located?

Henda Bouali practices at 4417 Vestal Parkway East Suite 202, Vestal, NY 13850. The listed phone number is (607) 770-7365.

What is Henda Bouali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Henda Bouali enrolled in Medicare?

Yes. Henda Bouali 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 Henda Bouali affiliated with any hospitals?

According to CMS data, Henda Bouali is affiliated with Chenango Memorial Hospital, United Health Services Hospitals, Inc and Delaware Valley Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Henda Bouali was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.