DR. PHILLIP M BOUTERSE MD
NPI 1457328965
Anesthesiology in Tacoma, WA
About Dr. Phillip M Bouterse Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PHILLIP M BOUTERSE MD (NPI 1457328965) is an individual anesthesiology provider in Tacoma, Washington, licensed in Washington (35646) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Tacoma General Allenmore Hospital, and is a graduate of Medical College Of Wisconsin (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Phillip M Bouterse 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.
Medicare Billing Reassignment
Medicare enrollment records show Phillip Bouterse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tacoma, WA 98418
- Reassigned Medicare billing, Washington enrollment
- 90 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tacoma General Allenmore Hospital
Acute Care Hospitals · Tacoma, WAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Phillip Bouterse's NPI number?
The NPI number for Phillip Bouterse is 1457328965. It was assigned to this individual provider in the NPPES registry on March 2, 2006.
Where is Phillip Bouterse located?
Phillip Bouterse practices at 3633 Pacific Ave Suite 204, Tacoma, WA 98418. The listed phone number is (253) 274-1668.
What is Phillip Bouterse's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Phillip Bouterse enrolled in Medicare?
Yes. Phillip Bouterse 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.
Which organization bills Medicare for Phillip Bouterse's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Bouterse reassigns Medicare benefits to Tacoma Anesthesia Associates Inc Ps (Tacoma, WA). The 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 Phillip Bouterse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phillip Bouterse accept?
Health plans from Ambetter Health list Phillip Bouterse 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.
Is Phillip Bouterse affiliated with any hospitals?
According to CMS data, Phillip Bouterse is affiliated with Tacoma General Allenmore Hospital.
When was this NPI record last updated?
The NPPES record for Phillip Bouterse was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Phillip M Bouterse, MD · NPI 1457328965
Anesthesiology physician in Tacoma, Washington. Individual provider, active in the CMS NPPES registry since March 2, 2006.
## Identity
- **NPI:** 1457328965 (Entity type: Individual)
- **Enumerated:** March 2, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 35646 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 3633 PACIFIC AVE, SUITE 204, Tacoma, WA 98418-7900
- **Phone:** (253) 274-1668
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tacoma Anesthesia Associates Inc Ps (NPI 1447227814, Tacoma, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Wisconsin, class of 1990
## Record status
- **NPPES last updated:** July 13, 2026
- **Other identifiers:** Medicaid 8243768 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1457328965) · Data from the CMS NPPES public registry.