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DR. VALY BOULOM M.D.
NPI 1174785232
Surgery - Vascular Surgery in Morgan Hill, CA

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
18525 SUTTER BLVD STE 140, MORGAN HILL, CA 95037(408) 333-9580(408) 663-5222 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 12, 2024, May 18, 2021, Feb 6, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Valy Boulom M.d. NPPES

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

DR. VALY BOULOM M.D. (NPI 1174785232) is an individual vascular surgery provider in Morgan Hill, California, licensed in California (130020) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2008).

NPPES Registry Identity

NPI1174785232
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameDR. VALY BOULOMCredential: M.D.
Location Address18525 SUTTER BLVD STE 140Morgan Hill, CA 95037-2883
Mailing Address18525 Sutter Blvd Ste 140Morgan Hill, CA 95037-2883 · (408) 333-9580 · Fax (408) 663-5222
Phone(408) 333-9580
Fax(408) 663-5222
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2008
Enumeration DateJune 30, 2008
Last NPPES UpdateNovember 12, 20244 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1174785232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in CA · 130020
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
18525 SUTTER BLVD STE 140, Morgan Hill, CA 95037
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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. Valy Boulom M.d. 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 ID1951530419
PECOS Enrollment IDI20160826001712
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 Valy Boulom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bass Medical Group
45 mi
Orthopaedic Surgery
19842 LAKE CHABOT RD
Castro Valley, CA 94546
  • Reassigned Medicare billing, California enrollment
  • 347 clinicians in this Medicare group
NPI 1093181646 (510) 886-8844
Shadelands Endovascular, LLC
57 mi
Ambulatory Surgical
460 N WIGET LN STE B
Walnut Creek, CA 94598
  • Reassigned Medicare billing, California enrollment
  • 6 clinicians in this Medicare group
NPI 1245620954 (925) 627-3495

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 9

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.
508 services145 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
188 services135 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
149 services58 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
127 services94 patients
Chemical destruction of first incompetent vein of arm or leg using imaging guidance 36482
This procedure involves using a chemical to close off a malfunctioning vein in your arm or leg. Imaging guidance is used to accurately locate the vein. This helps improve blood flow by rerouting it through healthier veins.
109 services50 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95037 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
DME-Other DME · category DE000N
1 supplier18 claims18 services$742.24 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
1 supplier18 claims36 services$312.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Valy Boulom's NPI number?

The NPI number for Valy Boulom is 1174785232. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Valy Boulom located?

Valy Boulom practices at 18525 Sutter Blvd Ste 140, Morgan Hill, CA 95037. The listed phone number is (408) 333-9580.

What is Valy Boulom's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Valy Boulom enrolled in Medicare?

Yes. Valy Boulom 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 Valy Boulom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Valy Boulom reassigns Medicare benefits to 2 organizations: Bass Medical Group (Castro Valley, CA) and Shadelands Endovascular, LLC (Walnut Creek, CA). 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 Valy Boulom'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 Valy Boulom was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.