1. Home
  2. Directory
  3. Michigan
  4. Wyandotte
  5. Anesthesiology
  6. NPI Profile

JIMMY ROGER BOUTIN M.D.
NPI 1417976937
Anesthesiology in Wyandotte, MI

Active since July 18, 2006PECOS Enrolled
2333 BIDDLE ST, WYANDOTTE, MI 48192(734) 246-7913(734) 246-6968 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jimmy Roger Boutin M.d. NPPES

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

JIMMY ROGER BOUTIN M.D. (NPI 1417976937) is an individual anesthesiology provider in Wyandotte, Michigan, licensed in Michigan (4301055999) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417976937
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJIMMY ROGER BOUTINCredential: M.D.
Location Address2333 BIDDLE STWyandotte, MI 48192-4668
Mailing Address2333 Biddle StWyandotte, MI 48192-4668 · (734) 246-7913 · Fax (734) 246-6968
Phone(734) 246-7913
Fax(734) 246-6968
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417976937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MI · 4301055999
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
2333 BIDDLE ST, Wyandotte, MI 48192
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF89482MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jimmy Roger Boutin 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.

Areas of Expertise CMS Part B claims 6

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
196 services187 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
36 services36 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
29 services29 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
21 services21 patients
Anesthesia for procedure on eyelid 00103
Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
17 services16 patients
Anesthesia for x-ray or radiation therapy 01922
Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.
12 services12 patients

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.

KURT M SCHUON CRNA
Nurse Anesthetist, Certified Registered
2333 BIDDLE ST
WYANDOTTE, MI 48192
Wayne County (734) 324-3697
ELIZABETH S PLEMMONS MD
Emergency Medicine
2333 BIDDLE ST
WYANDOTTE, MI 48192
Wayne County (313) 284-9400
CHARLES T CARPENTER CRNA
Nurse Anesthetist, Certified Registered
2333 BIDDLE ST
WYANDOTTE, MI 48192
Wayne County (734) 324-3697
MARK I PENSLER M.D.
Internal Medicine (Pulmonary Disease)
2333 BIDDLE ST
WYANDOTTE, MI 48192
Wayne County (734) 324-3528
JULIE ANN PATTERSON COTA
General Acute Care Hospital
2333 BIDDLE ST
WYANDOTTE, MI 48192
Wayne County (734) 246-9037
DR. MONICA C GUNTER PH.D.
Psychologist
2333 BIDDLE ST
WYANDOTTE, MI 48192
Wayne County (734) 246-6000
DR. SATHEESH GUNAGA D.O.
Emergency Medicine
2333 BIDDLE ST, HENRY FORD WYANDOTTE HOSPITAL DEPT OF MEDICAL EDUCATION
WYANDOTTE, MI 48192
Wayne County (734) 208-7148
HENRY FORD WYANDOTTE HOSPITAL
Clinic/Center (Ambulatory Surgical)
2333 BIDDLE ST
WYANDOTTE, MI 48192
Wayne County (734) 246-6000

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 Jimmy Boutin's NPI number?

The NPI number for Jimmy Boutin is 1417976937. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Jimmy Boutin located?

Jimmy Boutin practices at 2333 Biddle St, Wyandotte, MI 48192. The listed phone number is (734) 246-7913.

What is Jimmy Boutin's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jimmy Boutin enrolled in Medicare?

Yes. Jimmy Boutin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jimmy Boutin was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.