SAMEH BOULOS MD
NPI 1457091894
Student in an Organized Health Care Education/Training Program in New Hyde Park, NY
About Sameh Boulos Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMEH BOULOS MD (NPI 1457091894) is an individual student in an organized health care education/training program in New Hyde Park, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sameh Boulos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
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 Sameh Boulos's NPI number?
The NPI number for Sameh Boulos is 1457091894. It was assigned to this individual provider in the NPPES registry on April 1, 2022.
Where is Sameh Boulos located?
Sameh Boulos practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-4475.
What is Sameh Boulos's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Sameh Boulos enrolled in Medicare?
Yes. Sameh Boulos is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Sameh Boulos was last updated on April 1, 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.
# Sameh Boulos, MD · NPI 1457091894
Student in an Organized Health Care Education/Training Program provider in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since April 1, 2022.
## Identity
- **NPI:** 1457091894 (Entity type: Individual)
- **Enumerated:** April 1, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 27005 76TH AVE, New Hyde Park, NY 11040-1402
- **Phone:** (718) 470-4475
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1457091894) · Data from the CMS NPPES public registry.