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DOLLY ALBERT BOUGHABA MD
NPI 1376582221
Psychiatry & Neurology - Neurology in Ludlow, KY

Active since June 06, 2006PECOS Enrolled
405 SOUTHWIND LN, LUDLOW, KY 41016(513) 470-2777 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2025, Feb 5, 2024 (2 updates tracked since 2024).

About Dolly Albert Boughaba Md NPPES

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

DOLLY ALBERT BOUGHABA MD (NPI 1376582221) is an individual neurology provider in Ludlow, Kentucky, licensed in Indiana (01072116A) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376582221
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDOLLY ALBERT BOUGHABACredential: MD
Location Address405 SOUTHWIND LNLudlow, KY 41016-1715
Mailing Address405 Southwind LnLudlow, KY 41016-1715 · (513) 470-2777
Phone(513) 470-2777
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateMay 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1376582221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IN · 01072116A
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
405 SOUTHWIND LN, Ludlow, KY 41016
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 Airport Gardens RdHazard, KY 41701-9529 · Phone (606) 477-8718
Location 2100 Hospital Ln Ste 225Danville, IN 46122-1870 · Phone (317) 718-4730

Other Identifiers 3

Other000000804952IN · Anthem Bcbs
Medicaid200388530IN
Medicaid64053101KY

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dolly Albert Boughaba Md 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Dolly Boughaba reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arh Mary Breckinridge Health Services, Inc.
76 mi
Multi-Specialty
431 REDDING RD STE 140
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1952894826 (Kentucky)
  • 89 clinicians in this Medicare group
NPI 1740900075 (859) 226-2500
Appalachian Regional Healthcare, Inc.
106 mi
Rural Health
1084 HIGHWAY 7, SUITE 2
West Liberty, KY 41472
  • Reassigned Medicare billing, Kentucky and West Virginia enrollments
  • Also billed through NPI 1962520312 (West Virginia), NPI 1861671117 (Kentucky)
  • 419 clinicians in this Medicare group
NPI 1780043927 (606) 743-3065
Arh Tug Valley Health Services, Inc.
122 mi
Multi-Specialty
787 PARKWAY DR
Salyersville, KY 41465
  • Reassigned Medicare billing, Kentucky enrollment
  • 242 clinicians in this Medicare group
NPI 1942962105 (606) 349-3511
Avera Mckennan
675 mi
Rural Health
1100 S 10TH AVE, STE 100
Rock Rapids, IA 51246
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,277 clinicians in this Medicare group
NPI 1003389206 (712) 472-5300
Monument Health Rapid City Hospital, Inc.
976 mi
Family Medicine
112 7TH AVENUE
Wall, SD 57790
  • Reassigned Medicare billing, South Dakota enrollment
  • 831 clinicians in this Medicare group
NPI 1265811285 (605) 279-2149

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
52 services50 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
37 services37 patients
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41016 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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 Dolly Boughaba's NPI number?

The NPI number for Dolly Boughaba is 1376582221. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Dolly Boughaba located?

Dolly Boughaba practices at 405 Southwind Ln, Ludlow, KY 41016. The listed phone number is (513) 470-2777.

What is Dolly Boughaba's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Dolly Boughaba enrolled in Medicare?

Yes. Dolly Boughaba is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dolly Boughaba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dolly Boughaba reassigns Medicare benefits to 5 organizations: Arh Mary Breckinridge Health Services, Inc. (Lexington, KY), Appalachian Regional Healthcare, Inc. (West Liberty, KY), Arh Tug Valley Health Services, Inc. (Salyersville, KY), Avera Mckennan (Rock Rapids, IA) and Monument Health Rapid City Hospital, Inc. (Wall, SD). 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 Dolly Boughaba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dolly Boughaba accept?

Health plans from Avera Health Plans and CareSource list Dolly Boughaba 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 Dolly Boughaba was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.