DR. JOHN BOUTROS M.D.
NPI 1265085898
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Active since July 23, 2019PECOS Enrolled
462 GRIDER ST, BUFFALO, NY 14215(716) 898-4286 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Boutros M.d. NPPES

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

DR. JOHN BOUTROS M.D. (NPI 1265085898) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265085898
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JOHN BOUTROSCredential: M.D.
Location Address462 GRIDER STBuffalo, NY 14215-3021
Mailing Address462 Grider StBuffalo, NY 14215-3021
Sole ProprietorNo
Enumeration DateJuly 23, 2019
NPI 1265085898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
462 GRIDER ST, Buffalo, NY 14215

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. John Boutros 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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Pharmacy (Community/Retail Pharmacy)
462 GRIDER ST, DRIVEWAY 3
BUFFALO, NY 14215
Physician Assistant
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Student in an Organized Health Care Education/Training Program
462 GRIDER ST
BUFFALO, NY 14215
Nurse Practitioner (Acute Care)
462 GRIDER ST
BUFFALO, NY 14215
Occupational Therapy Assistant
462 GRIDER ST
BUFFALO, NY 14215

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 John Boutros's NPI number?

The NPI number for John Boutros is 1265085898. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is John Boutros located?

John Boutros practices at 462 Grider St, Buffalo, NY 14215. The listed phone number is (716) 898-4286.

What is John Boutros's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Boutros enrolled in Medicare?

Yes. John Boutros is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Boutros was last updated on July 23, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.