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DR. ELISABETH BOULOS M.D.
NPI 1124317458
Student in an Organized Health Care Education/Training Program in Pittsburgh, PA

Active since April 07, 2011PECOS Enrolled
3459 5TH AVE, NW 628 UPMC, PITTSBURGH, PA 15213(412) 692-2210 Get Directions Write a Review

NPPES record last updated: September 20, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 20, 2017, Feb 15, 2017 (2 updates tracked since 2017).

About Dr. Elisabeth Boulos M.d. NPPES

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

DR. ELISABETH BOULOS M.D. (NPI 1124317458) is an individual student in an organized health care education/training program in Pittsburgh, Pennsylvania and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124317458
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ELISABETH BOULOSCredential: M.D.
Location Address3459 5TH AVE, NW 628 UPMCPittsburgh, PA 15213-3236
Mailing Address3459 5th Ave, Nw 628 UpmcPittsburgh, PA 15213-3236 · (412) 692-2210
Phone(412) 692-2210
Sole ProprietorYes
Enumeration DateApril 7, 2011
Last NPPES UpdateSeptember 20, 20172 updates tracked since enumeration
✔ NPI 1124317458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3459 5TH AVE, Pittsburgh, PA 15213
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elisabeth Boulos M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

MRS. LORI SMITH MACEDONIA
Physician Assistant (Medical)
3459 5TH AVE, 4 WEST MONTEFIORE HOSPITAL, ALZHEIMER RESEARCH CENTER
PITTSBURGH, PA 15213
Allegheny County (412) 692-2700
DR. ANGELA CORINNE WILLIAMS MD
Physical Medicine & Rehabilitation
3459 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
MRS. SUSAN AUDREY STARK MS, RD, LD
Dietitian, Registered
3459 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 647-2906
DANIEL SULLIVAN
Internal Medicine
3459 5TH AVE, UPMC MONTEFIORE NW628
PITTSBURGH, PA 15213
Allegheny County (412) 692-2213
MRS. MARGARET ANN STOEFF CRNP
Nurse Practitioner (Family)
3459 5TH AVE, NW 628
PITTSBURGH, PA 15213
Allegheny County (412) 692-2210
CHELSEA STEWART
Physician Assistant
3459 5TH AVE, 2ND FLOOR RADIOLOGY
PITTSBURGH, PA 15213
Allegheny County (412) 647-5800
ALLISON GAYLE AGNONE DNP
Clinical Nurse Specialist (Acute Care)
3459 5TH AVE, 4 WEST MONTEFIORE HOSPITAL
PITTSBURGH, PA 15213
Allegheny County (412) 692-2717
DR. AMIT BASU MD
Specialist
3459 5TH AVE, N725
PITTSBURGH, PA 15213
Allegheny County (412) 647-5730

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 Elisabeth Boulos's NPI number?

The NPI number for Elisabeth Boulos is 1124317458. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Elisabeth Boulos located?

Elisabeth Boulos practices at 3459 5th Ave NW 628 Upmc, Pittsburgh, PA 15213. The listed phone number is (412) 692-2210.

What is Elisabeth Boulos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elisabeth Boulos enrolled in Medicare?

Yes. Elisabeth Boulos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elisabeth Boulos was last updated on September 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.