DR. MICHAEL BOULOUS MD
NPI 1225590169
Radiology - Vascular & Interventional Radiology in Indianapolis, IN
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
Specialties & Licenses 2
Accepted Insurance
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. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michael Boulous reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Indianapolis, IN 46256
- Reassigned Medicare billing, Indiana enrollment
- 130 clinicians in this Medicare group
Greensburg, IN 47240
- Reassigned Medicare billing, Indiana enrollment
- Also billed through NPI 1952300477 (Indiana)
- 180 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, INCommunity Hospital East
Acute Care Hospitals · Indianapolis, INCommunity Hospital South, Inc.
Acute Care Hospitals · Indianapolis, INFranciscan Health Indianapolis
Acute Care Hospitals · Indianapolis, INCommunity Hospital North
Acute Care Hospitals · Indianapolis, INPhysician 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.
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.
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
INDIANAPOLIS, IN 46202
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.
Which organizations bill Medicare for Michael Boulous's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Boulous reassigns Medicare benefits to 2 organizations: Radiology Of Indiana P C (Indianapolis, IN) and Decatur County Memorial Hospital (Greensburg, IN). 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 Michael Boulous's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 South, Inc., Franciscan Health Indianapolis and Community Hospital North.
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 15 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.
# Dr. Michael Boulous, MD · NPI 1225590169
Vascular & Interventional Radiology physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1225590169 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **State license:** 01086907A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 UNIVERSITY BLVD, Indianapolis, IN 46202-5149
- **Phone:** (317) 944-2621
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Radiology Of Indiana P C (NPI 1992723829, Indianapolis, IN); Decatur County Memorial Hospital (NPI 1114179181, Greensburg, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Indiana University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** July 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1225590169) · Data from the CMS NPPES public registry.