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DR. MICHAEL BOULOUS MD
NPI 1225590169
Radiology - Vascular & Interventional Radiology in Indianapolis, IN

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202(317) 944-2621 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2025, Apr 1, 2019 (2 updates tracked since 2019).

About Dr. Michael Boulous Md NPPES

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

DR. MICHAEL BOULOUS MD (NPI 1225590169) is an individual vascular & interventional radiology provider in Indianapolis, Indiana, licensed in Indiana (01086907A) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Riverview Health, and is a graduate of Indiana University School Of Medicine (2019).

NPPES Registry Identity

NPI1225590169
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. MICHAEL BOULOUSCredential: MD
Location Address550 UNIVERSITY BLVDIndianapolis, IN 46202-5149
Mailing Address9998 Crosspoint Blvd Ste 200Indianapolis, IN 46256-3307 · (317) 579-2150 · Fax (317) 806-8296
Phone(317) 944-2621
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateJuly 14, 20252 updates tracked since enumeration
NPPES CertifiedJuly 14, 2025
✔ NPI 1225590169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in IN · 01086907A
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 01086907A (IN)
550 UNIVERSITY BLVD, Indianapolis, IN 46202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Boulous 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 ID7911240411
PECOS Enrollment IDI20250616000391
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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverview Health

Acute Care Hospitals · Noblesville, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150059
Location395 Westfield RdNoblesville, IN 46060 · Hamilton County
Emergency services Birthing friendly

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150128
Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

JACK DAVID MARKIEWICZ M.D.
Radiology (Diagnostic Radiology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 278-9729
CRISTINA NANCY PEREZ CHUMBIAUCA MD
Internal Medicine (Rheumatology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 944-5000
JENNIFER MARIE SPORS NP
Nurse Practitioner (Gerontology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 944-7728
DR. BRENNA ESPELIEN MD
Obstetrics & Gynecology (Gynecology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 274-2018
STEVEN T HUGENBERG MD
Internal Medicine (Rheumatology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 944-8660
OLGA BARKAY MD
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD, SUITE 4100
INDIANAPOLIS, IN 46202
Marion County (317) 278-0427
DR. YELENA CHERNYAK PH.D., HSPP
Psychologist (Health)
550 UNIVERSITY BLVD, ROOM UH 3240
INDIANAPOLIS, IN 46202
Marion County (317) 944-7422
HEATHER M HOSFIELD NP
Nurse Practitioner (Adult Health)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 944-5000

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 Michael Boulous's NPI number?

The NPI number for Michael Boulous is 1225590169. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Michael Boulous located?

Michael Boulous practices at 550 University Blvd, Indianapolis, IN 46202. The listed phone number is (317) 944-2621.

What is Michael Boulous's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Michael Boulous enrolled in Medicare?

Yes. Michael Boulous 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.

What insurance does Michael Boulous accept?

Health plans from CareSource list Michael Boulous 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.

Is Michael Boulous affiliated with any hospitals?

According to CMS data, Michael Boulous is affiliated with Riverview Health, Community Hospital East, Community Hospital Of Anderson And Madison County, Community Hospital South, Inc. and Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Michael Boulous was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.