KONSTANTINOS BOUKAS M.D.
NPI 1174725253
Pediatrics - Pediatric Critical Care Medicine in Houston, TX

Q: What is Konstantinos Boukas's NPI number?

The NPI number for Konstantinos Boukas is 1174725253. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Q: What is Konstantinos Boukas's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since June 01, 2007PECOS Enrolled

6431 FANNIN STREET, MSB 3.160, HOUSTON, TX 77030(713) 500-5652(713) 486-0989 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Konstantinos Boukas M.d. NPPES

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

KONSTANTINOS BOUKAS M.D. (NPI 1174725253) is an individual pediatric critical care medicine provider in Houston, Texas, licensed in Texas (P9165) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174725253

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameKONSTANTINOS BOUKASCredential: M.D.

Location Address6431 FANNIN STREET, MSB 3.160Houston, TX 77030

Mailing Address6431 Fannin Street, Msb 3.160Houston, TX 77030 · (713) 500-5652 · Fax (713) 486-0989

Phone(713) 500-5652

Fax(713) 486-0989

Sole ProprietorNo

Enumeration DateJune 1, 2007

Last NPPES UpdateSeptember 24, 2021

NPPES CertifiedSeptember 9, 2021

✔ NPI 1174725253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in TX · P9165✔ Licensed in FL · ME 101777

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License P9165 (TX), ME 101777 (FL)

6431 FANNIN STREET, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Konstantinos Boukas 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.

Medicare Billing Reassignment

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

Ut Physicians

0.1 mi

Anesthesiology

6410 FANNIN ST, 1500
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
3,111 clinicians in this Medicare group

NPI 1033157821 (832) 325-7325

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

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.

SANDHYA AVULA MD

Student in an Organized Health Care Education/Training Program

6431 FANNIN STREET, SUITE NUMBER MSB 3
HOUSTON, TX 77030

Harris County (713) 500-6397

MR. TOMOKI KINOSHITA M.D.

Student in an Organized Health Care Education/Training Program

6431 FANNIN STREET, SUITE 1014
HOUSTON, TX 77030

Harris County (713) 500-7722

KEVIN PRAFUL PATEL DO

Emergency Medicine

6431 FANNIN STREET, JJL270
HOUSTON, TX 77030

Harris County (346) 262-8158

CHRISTINA ROLANDELLI MD

Anesthesiology

6431 FANNIN STREET, SUITE MSB 5.196
HOUSTON, TX 77030

Harris County (713) 500-6223

HASAAN SIDDIQUI

Radiology (Diagnostic Radiology)

6431 FANNIN STREET, MSB 2.010A
HOUSTON, TX 77030

Harris County (713) 500-7488

SHARON R PAN MD

Student in an Organized Health Care Education/Training Program

6431 FANNIN STREET, MSB 1.134
HOUSTON, TX 77030

Harris County (713) 500-6526

OMAR SHAIKH

Student in an Organized Health Care Education/Training Program

6431 FANNIN STREET, MSB 1.134
HOUSTON, TX 77030

Harris County (214) 648-5617

DR. STEPHANIE CHIDINMA ASSIMONYE MD

Student in an Organized Health Care Education/Training Program

6431 FANNIN STREET, MSB 2.116
HOUSTON, TX 77030

Harris County (713) 500-7614

JANET NWOKOLO-ANIEKWU M.D.

Student in an Organized Health Care Education/Training Program

6431 FANNIN STREET, SUITE JJL 310
HOUSTON, TX 77030

Harris County (512) 804-9948

LEVANI IASHVILI MD

Student in an Organized Health Care Education/Training Program

6431 FANNIN STREET, MSB 2.262
HOUSTON, TX 77030

Harris County (346) 565-2900

MISS JOCELYN DERIENNE MACK URSUA

Student in an Organized Health Care Education/Training Program

6431 FANNIN STREET, MSB 1.134
HOUSTON, TX 77030

Harris County (318) 210-7066

YARA NEAIMEH MD

Student in an Organized Health Care Education/Training Program

6431 FANNIN STREET, MSB 3200
HOUSTON, TX 77030

Harris County (713) 500-7094

REX ALVIN DE GUZMAN PAULINO M.D.

Family Medicine (Hospice and Palliative Medicine)

6431 FANNIN STREET, MSB 5.111
HOUSTON, TX 77030

Harris County (713) 500-6295

DR. SAMIM SYED JAFRI M.D.

Internal Medicine (Pulmonary Disease)

6431 FANNIN STREET, SUITE MSB 1.434
HOUSTON, TX 77030

Harris County (832) 325-7222

CYNTHIA ORANTES MD

Emergency Medicine

6431 FANNIN STREET, SUITE JJL 431
HOUSTON, TX 77030

Harris County (713) 500-7878

JUSTIN SALMAN DO

Internal Medicine

6431 FANNIN STREET, MSB 1.134
HOUSTON, TX 77030

Harris County (713) 500-6526

EVELYN TRAN MD

Student in an Organized Health Care Education/Training Program

6431 FANNIN STREET, MSB 1.134
HOUSTON, TX 77030

Harris County (713) 500-6526

MARCUS A FLOREZ

Student in an Organized Health Care Education/Training Program

6431 FANNIN STREET, MSB 1.134
HOUSTON, TX 77030

Harris County (713) 500-6526

MR. MUHAMMAD JAFAR KHAN

Student in an Organized Health Care Education/Training Program

6431 FANNIN STREET, MSB 1.134, DEPT OF INTERNAL MEDICINE
HOUSTON, TX 77030

Harris County (713) 500-6526

MARINA ATEF AWAD MICHAEL MD

Student in an Organized Health Care Education/Training Program

6431 FANNIN STREET, MSB 2.262
HOUSTON, TX 77030

Harris County (713) 500-5302

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 Konstantinos Boukas's NPI number?

The NPI number for Konstantinos Boukas is 1174725253. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Konstantinos Boukas located?

Konstantinos Boukas practices at 6431 Fannin Street Msb 3.160, Houston, TX 77030. The listed phone number is (713) 500-5652.

What is Konstantinos Boukas's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Konstantinos Boukas enrolled in Medicare?

Yes. Konstantinos Boukas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Konstantinos Boukas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Konstantinos Boukas reassigns Medicare benefits to Ut Physicians (Houston, TX). 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 Konstantinos Boukas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Konstantinos Boukas accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Konstantinos Boukas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Konstantinos Boukas was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.