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DR. OWMY BOULOUTE DPM
NPI 1093013880
Podiatrist in Woodbridge, VA

Active since March 03, 2011PECOS EnrolledAccepts Medicare Assignment
5049 ANCHORSTONE DR, WOODBRIDGE, VA 22192(678) 517-4214 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 15, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Owmy Bouloute Dpm NPPES

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

DR. OWMY BOULOUTE DPM (NPI 1093013880) is an individual podiatrist in Woodbridge, Virginia, licensed in Virginia (0103301212) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in River Ridge, and is a graduate of New York College Of Podiatric Medicine (2009).

NPPES Registry Identity

NPI1093013880
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. OWMY BOULOUTECredential: DPM
Location Address5049 ANCHORSTONE DRWoodbridge, VA 22192-8320
Mailing Address8653 16th St Unit 7186Silver Spring, MD 20907-7909 · (678) 517-4214
Phone(678) 517-4214
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2009
Enumeration DateMarch 3, 2011
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1093013880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in VA · 0103301212
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
5049 ANCHORSTONE DR, Woodbridge, VA 22192
Open in Google Maps ↗

Secondary Practice Location 1

Location 15801 Walnut Creek Rd, Apartment B210River Ridge, LA 70123-5600 · Phone (347) 359-4485

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Owmy Bouloute Dpm 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 ID42495608
PECOS Enrollment IDI20171106002770
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.

Medicare Billing Reassignment

Medicare enrollment records show Owmy Bouloute reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bouloute Healthcare Services, LLC
Same address
Podiatrist
5049 ANCHORSTONE DR
Woodbridge, VA 22192
  • Reassigned Medicare billing, Virginia enrollment
NPI 1104343532 (678) 517-4214

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
496 services218 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
247 services90 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
176 services69 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
69 services69 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
68 services48 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22192 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

BOULOUTE HEALTHCARE SERVICES, LLC
Podiatrist
5049 ANCHORSTONE DR
WOODBRIDGE, VA 22192
Prince William County (678) 517-4214

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 Owmy Bouloute's NPI number?

The NPI number for Owmy Bouloute is 1093013880. It was assigned to this individual provider in the NPPES registry on March 3, 2011.

Where is Owmy Bouloute located?

Owmy Bouloute practices at 5049 Anchorstone Dr, Woodbridge, VA 22192. The listed phone number is (678) 517-4214.

What is Owmy Bouloute's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Owmy Bouloute enrolled in Medicare?

Yes. Owmy Bouloute 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.

Which organization bills Medicare for Owmy Bouloute's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Owmy Bouloute reassigns Medicare benefits to Bouloute Healthcare Services, LLC (Woodbridge, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Owmy Bouloute's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Owmy Bouloute was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.