MATTHEW BOULIS DO
NPI 1194666933
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Matthew Boulis Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW BOULIS DO (NPI 1194666933) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Boulis Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
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 Matthew Boulis's NPI number?
The NPI number for Matthew Boulis is 1194666933. It was assigned to this individual provider in the NPPES registry on April 4, 2026.
Where is Matthew Boulis located?
Matthew Boulis practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 745-7888.
What is Matthew Boulis's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Matthew Boulis enrolled in Medicare?
Yes. Matthew Boulis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Matthew Boulis was last updated on April 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
