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PETRA NIHAD BOUTROS DMD
NPI 1427636273
Dentist in Columbus, OH

Active since April 01, 2021PECOS Enrolled
305 W 12TH AVE, COLUMBUS, OH 43210(614) 688-3763 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2022, Jun 16, 2021, Apr 1, 2021 (3 updates tracked since 2021).

About Petra Nihad Boutros Dmd NPPES

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

PETRA NIHAD BOUTROS DMD (NPI 1427636273) is an individual dentist in Columbus, Ohio, licensed in Ohio (RES.004349) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1427636273
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NamePETRA NIHAD BOUTROSCredential: DMD
Location Address305 W 12TH AVEColumbus, OH 43210-1267
Mailing Address305 W 12th AveColumbus, OH 43210-1267
Phone(614) 688-3763
Sole ProprietorNo
Enumeration DateApril 1, 2021
Last NPPES UpdateMay 18, 20223 updates tracked since enumeration
NPPES CertifiedMay 18, 2022
✔ NPI 1427636273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OH · RES.004349
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
305 W 12TH AVE, Columbus, OH 43210
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Secondary Practice Location 1

Location 15370 Birkdale St NWCanton, OH 44708-1872 · Phone (330) 316-9731

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Petra Nihad Boutros Dmd 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 43210 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

DR. TIMOTHY GARTH WEAVER D.D.S.
Dentist
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-7473
MITCHELL THAI
Dentist (General Practice)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-4468
DIANA MAHMOODI DMD
Dentist (Prosthodontics)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (703) 608-6431
DR. ELMER JAY NEWNESS D.D.S.
Dentist
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-3015
DANIEL STENTZ D.D.S.
Dentist
305 W 12TH AVE, ROOM 3059C POSTLE HALL
COLUMBUS, OH 43210
Franklin County (614) 292-3596
JENNIFER BURZYNSKI DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
305 W 12TH AVE, OSU DEPARTMENT OF ORTHODONTICS
COLUMBUS, OH 43210
Franklin County (614) 292-9100
DR. SOORYA SRINIVASAN D.M.D
Dentist (Orthodontics and Dentofacial Orthopedics)
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 688-4047
DR. BRYCE WOOLSEY DDS
Dentist
305 W 12TH AVE
COLUMBUS, OH 43210
Franklin County (614) 292-2622

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 Petra Boutros's NPI number?

The NPI number for Petra Boutros is 1427636273. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Petra Boutros located?

Petra Boutros practices at 305 W 12th Ave, Columbus, OH 43210. The listed phone number is (614) 688-3763.

What is Petra Boutros's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Petra Boutros enrolled in Medicare?

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

What insurance does Petra Boutros accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Petra Boutros 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 Petra Boutros was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.