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DR. AUGUSTAS ANGELO BOULUKOS MD
NPI 1447336813
Family Medicine in West Hempstead, NY

Active since October 28, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D2061988 · Waiver
314 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552(516) 565-2010(516) 538-7016 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Augustas Angelo Boulukos Md NPPES

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

DR. AUGUSTAS ANGELO BOULUKOS MD (NPI 1447336813) is an individual family medicine provider in West Hempstead, New York, licensed in New York (158084) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 8, 2027, and is affiliated with North Shore University Hospital.

NPPES Registry Identity

NPI1447336813
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. AUGUSTAS ANGELO BOULUKOSCredential: MD
Location Address314 HEMPSTEAD AVEWest Hempstead, NY 11552-2043
Mailing Address102 4th StGarden City, NY 11530-5934 · (516) 742-6510 · Fax (516) 538-7016
Phone(516) 565-2010
Fax(516) 538-7016
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateOctober 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447336813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 158084
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
314 HEMPSTEAD AVE, West Hempstead, NY 11552
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Other Identifiers 1

Medicare UPINA63498NY

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

Dr. Augustas Angelo Boulukos 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 ID7315919255
PECOS Enrollment IDI20040810001526
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2061988

Augustas Boulukos, MD · West Hempstead, NY
Active · expires Jul 8, 2027
CLIA Number33D2061988
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorDr. Augustas A. Boulukos
Laboratory Phone(516) 565-2010
Laboratory LocationAugustas Boulukos, MD314 Hempstead Avenue, West Hempstead, NY 11552
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
364 services89 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services45 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
23 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services22 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11552 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 Augustas Boulukos's NPI number?

The NPI number for Augustas Boulukos is 1447336813. It was assigned to this individual provider in the NPPES registry on October 28, 2006.

Where is Augustas Boulukos located?

Augustas Boulukos practices at 314 Hempstead Ave, West Hempstead, NY 11552. The listed phone number is (516) 565-2010.

What is Augustas Boulukos's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Augustas Boulukos enrolled in Medicare?

Yes. Augustas Boulukos 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.

Does Augustas Boulukos hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2061988) is associated with this NPI, valid through July 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Augustas Boulukos affiliated with any hospitals?

According to CMS data, Augustas Boulukos is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Augustas Boulukos was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.