AMIRA BOULOS FANOUS-PAUL MD
NPI 1326007865
Pathology - Anatomic Pathology & Clinical Pathology in Roswell, GA

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
3000 HOSPITAL BLVD, ROSWELL, GA 30076(770) 751-2500 Get Directions Write a Review

NPPES record last updated: September 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 26, 2019, Aug 7, 2019, Dec 13, 2016 (3 updates tracked since 2016).

About Amira Boulos Fanous-paul Md NPPES

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

AMIRA BOULOS FANOUS-PAUL MD (NPI 1326007865) is an individual anatomic pathology & clinical pathology provider in Roswell, Georgia, licensed in Georgia (77475) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1326007865
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameAMIRA BOULOS FANOUS-PAULCredential: MD
Location Address3000 HOSPITAL BLVDRoswell, GA 30076
Mailing Address3000 Hospital BlvdRoswell, GA 30076-4915 · (770) 751-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMarch 22, 2006
Last NPPES UpdateSeptember 26, 20193 updates tracked since enumeration
NPI 1326007865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in GA · 77475
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedPathology · Clinical Pathology/Laboratory MedicineTaxonomy 207ZP0105X · License 38616 (KY)
3000 HOSPITAL BLVD, Roswell, GA 30076

Secondary Practice Location 1

Location 14215 Joe Ramsey BlvdGreenville, TX 75401 · Phone (903) 455-4051 · Fax (903) 454-1716

Other Identifiers 1

Medicaid177879701TX

Accepted 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

Amira Boulos Fanous-paul 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 ID4183644321
PECOS Enrollment IDI20170307002121
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
658 services335 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
351 services70 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
218 services181 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
103 services65 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
51 services15 patients
Pathology examination of tissue using a microscope, high complexity 88309
A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.
25 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30076 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Cardiovascular Disease)
3000 HOSPITAL BLVD
ROSWELL, GA 30076
Physical Therapist
3000 HOSPITAL BLVD
ROSWELL, GA 30076
Rehabilitation Unit
3000 HOSPITAL BLVD
ROSWELL, GA 30076
Family Medicine
3000 HOSPITAL BLVD, 2ND FLOOR
ROSWELL, GA 30076
Physician Assistant (Medical)
3000 HOSPITAL BLVD
ROSWELL, GA 30076
Nurse Practitioner (Family)
3000 HOSPITAL BLVD, ANESTHESIA DEPARTMENT
ROSWELL, GA 30076
Radiology (Diagnostic Radiology)
3000 HOSPITAL BLVD
ROSWELL, GA 30076
Emergency Medicine
3000 HOSPITAL BLVD
ROSWELL, GA 30076

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 Amira Fanous-paul's NPI number?

The NPI number for Amira Fanous-paul is 1326007865. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Amira Fanous-paul located?

Amira Fanous-paul practices at 3000 Hospital Blvd, Roswell, GA 30076. The listed phone number is (770) 751-2500.

What is Amira Fanous-paul's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Amira Fanous-paul enrolled in Medicare?

Yes. Amira Fanous-paul 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 Amira Fanous-paul accept?

Health plans from Alliant Health Plans, Inc. list Amira Fanous-paul 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 Amira Fanous-paul affiliated with any hospitals?

According to CMS data, Amira Fanous-paul is affiliated with Wellstar Kennestone Regional Medical Center, Wellstar Cobb Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Amira Fanous-paul was last updated on September 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.