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DR. BOUALI FREDERICK AMOLI D.M.D. M.D.
NPI 1306073754
Dentist - Oral and Maxillofacial Surgery in Jacksonville, FL

Active since June 12, 2009PECOS Enrolled
5149 NORMANDY BLVD UNIT 4, JACKSONVILLE, FL 32205(904) 781-1201 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bouali Frederick Amoli D.m.d. M.d. NPPES

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

DR. BOUALI FREDERICK AMOLI D.M.D. M.D. (NPI 1306073754) is an individual oral and maxillofacial surgery provider in Jacksonville, Florida, licensed in Florida (DN 21029) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306073754
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BOUALI FREDERICK AMOLICredential: D.M.D. M.D.
Location Address5149 NORMANDY BLVD UNIT 4Jacksonville, FL 32205-4861
Mailing Address5149 Normandy Blvd Unit 4Jacksonville, FL 32205-4861 · (904) 781-1201
Phone(904) 781-1201
Sole ProprietorYes
Enumeration DateJune 12, 2009
Last NPPES UpdateFebruary 23, 2015
✔ NPI 1306073754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in FL · DN 21029✔ Licensed in FL · DRP781
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License ME119684 (FL)
5149 NORMANDY BLVD UNIT 4, Jacksonville, FL 32205
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Other Identifiers 1

Medicaid012224600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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. Bouali Frederick Amoli D.m.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32205 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIBHUTI GARG DMD
Dentist (General Practice)
5149 NORMANDY BLVD UNIT 4
JACKSONVILLE, FL 32205
Duval County (904) 781-1201
DR. SIRAJ K ASADI DMD
Dentist (General Practice)
5149 NORMANDY BLVD UNIT 4
JACKSONVILLE, FL 32205
Duval County (904) 781-1201
DR. SEBASTIEN MURPHY DDS
Dentist (General Practice)
5149 NORMANDY BLVD UNIT 4
JACKSONVILLE, FL 32205
Duval County (904) 781-1201
JAY ST CHARLES II DDS
Dentist (General Practice)
5149 NORMANDY BLVD UNIT 4
JACKSONVILLE, FL 32205
Duval County (904) 781-1201
GRETTEL RECILLEZ LOPEZ DDS
Dentist (General Practice)
5149 NORMANDY BLVD UNIT 4
JACKSONVILLE, FL 32205
Duval County (904) 781-1201
DESHAYDIA BOYKIN DMD
Dentist (General Practice)
5149 NORMANDY BLVD UNIT 4
JACKSONVILLE, FL 32205
Duval County (904) 781-1201
TONI-ANN HYLTON MAYEMBE DDS
Dentist (General Practice)
5149 NORMANDY BLVD UNIT 4
JACKSONVILLE, FL 32205
Duval County (904) 781-1201
JOSEPH E. SMILLIE DMD
Dentist (General Practice)
5149 NORMANDY BLVD UNIT 4
JACKSONVILLE, FL 32205
Duval County (904) 781-1201

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 Bouali Amoli's NPI number?

The NPI number for Bouali Amoli is 1306073754. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Where is Bouali Amoli located?

Bouali Amoli practices at 5149 Normandy Blvd Unit 4, Jacksonville, FL 32205. The listed phone number is (904) 781-1201.

What is Bouali Amoli's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Bouali Amoli enrolled in Medicare?

Yes. Bouali Amoli is registered in the Medicare PECOS enrollment system.

What insurance does Bouali Amoli accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Bouali Amoli 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.

When was this NPI record last updated?

The NPPES record for Bouali Amoli was last updated on February 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.