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HOUMAN BOLOURIAN MD
NPI 1124150396
Family Medicine in Leesburg, FL

Active since March 12, 2007PECOS EnrolledAccepts Medicare Assignment
59.54/100
CMS Quality Rating
8113 CENTRALIA CT STE 102, LEESBURG, FL 34788(352) 663-9200(352) 240-3941 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2024, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Houman Bolourian Md NPPES

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

HOUMAN BOLOURIAN MD (NPI 1124150396) is an individual family medicine provider in Leesburg, Florida, licensed in Florida (ME101168) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Orlando, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1124150396
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHOUMAN BOLOURIANCredential: MD
Location Address8113 CENTRALIA CT STE 102Leesburg, FL 34788-7521
Mailing Address10850 Emerald Chase DrOrlando, FL 32836-5882 · (407) 721-2475
Phone(352) 663-9200
Fax(352) 240-3941
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 12, 2007
Last NPPES UpdateSeptember 5, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1124150396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME101168✔ Licensed in WY · 7717A✔ Licensed in VA · 0101243332
Definition
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.
8113 CENTRALIA CT STE 102, Leesburg, FL 34788
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Secondary Practice Location 1

Location 18014 Conroy Windermere Rd Ste 104Orlando, FL 32835-2537 · Phone (407) 291-8975 · Fax (407) 296-5220

Other Identifiers 3

Other7717AWY · License
Other101243332VA · License
Other101168FL · License

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

Houman Bolourian 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 ID5991871600
PECOS Enrollment IDI20120716000450
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 Reassignments

2

Medicare enrollment records show Houman Bolourian reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health System/Sunbelt, Inc.
4.0 mi
Urgent Care
1103 N 14TH STREET
Leesburg, FL 34748
  • Reassigned Medicare billing, Florida enrollment
  • 284 clinicians in this Medicare group
NPI 1386035269 (352) 314-2328
Urgent Care Centers Of Brevard County LLC
29 mi
Urgent Care
2600 WESTHALL LN
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 82 clinicians in this Medicare group
NPI 1295367290 (407) 200-2300

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.

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.
51 services51 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
33 services33 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
23 services23 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
21 services21 patients
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.
18 services18 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34788 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

59.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality23.72
Promoting Interoperability94
Improvement Activities20
Cost71.41

Other Providers at the Same Location NPPES 2

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

YASHEL WEDDERBURN LANDELL MD
Family Medicine
8113 CENTRALIA CT STE 102
LEESBURG, FL 34788
Lake County (877) 423-1330
PREMISE HEALTH OF FLORIDA MEDICAL PA
Clinic/Center (Multi-Specialty)
8113 CENTRALIA CT STE 102
LEESBURG, FL 34788
Lake County (352) 314-3020

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 Houman Bolourian's NPI number?

The NPI number for Houman Bolourian is 1124150396. It was assigned to this individual provider in the NPPES registry on March 12, 2007.

Where is Houman Bolourian located?

Houman Bolourian practices at 8113 Centralia Ct Ste 102, Leesburg, FL 34788. The listed phone number is (352) 663-9200.

What is Houman Bolourian's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Houman Bolourian enrolled in Medicare?

Yes. Houman Bolourian 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 organizations bill Medicare for Houman Bolourian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Houman Bolourian reassigns Medicare benefits to 2 organizations: Adventist Health System/Sunbelt, Inc. (Leesburg, FL) and Urgent Care Centers Of Brevard County LLC (Maitland, FL). Each 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 Houman Bolourian'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 Houman Bolourian was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.