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FREDERICK THORNTON BOULWARE M.D.
NPI 1497733174
Psychiatry & Neurology - Neurology in Phoenix, AZ

Active since January 04, 2006PECOS Enrolled
2423 W DUNLAP AVE, STE 130, PHOENIX, AZ 85021(602) 424-4450(602) 424-4451 Get Directions Write a Review

NPPES record last updated: September 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Frederick Thornton Boulware M.d. NPPES

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

FREDERICK THORNTON BOULWARE M.D. (NPI 1497733174) is an individual neurology provider in Phoenix, Arizona, licensed in Arizona (37701) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497733174
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameFREDERICK THORNTON BOULWARECredential: M.D.
Location Address2423 W DUNLAP AVE, STE 130Phoenix, AZ 85021-5818
Mailing Address2423 W Dunlap Ave, Ste 130Phoenix, AZ 85021-5818 · (602) 424-4450 · Fax (602) 424-4451
Phone(602) 424-4450
Fax(602) 424-4451
Sole ProprietorNo
Enumeration DateJanuary 4, 2006
Last NPPES UpdateSeptember 18, 2012
✔ NPI 1497733174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in AZ · 37701
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Neuromuscular MedicineTaxonomy 2084N0008X · License 37701 (AZ)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 37701 (AZ)
2423 W DUNLAP AVE, Phoenix, AZ 85021
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Other Identifiers 4

Medicaid100500484NV
Medicare PIN104810NV
Medicare UPINC95812NV
Medicaid002002038NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc., Oscar Health Plan, Inc., UnitedHealthcare.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)

Frederick Thornton Boulware 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

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.

Measurement of brain wave activity (eeg), 41-60 minutes 95812
This procedure involves placing small sensors on your head to record your brain's electrical activity for 41-60 minutes. Known as an EEG, it helps doctors understand how your brain works, assisting in diagnosing conditions like epilepsy or sleep disorders.
29 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85021 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 18

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

CHLOE THOMAS
Counselor (Mental Health)
2423 W DUNLAP AVE
PHOENIX, AZ 85021
Maricopa County (022) 795-2626
MR. ELIO ALDO D'APPOLLONIO PT
Physical Therapist
2423 W DUNLAP AVE, SUITE 170
PHOENIX, AZ 85021
Maricopa County (602) 870-1414
HEALTH RESOURCE CENTER
Clinic/Center
2423 W DUNLAP AVE, #141
PHOENIX, AZ 85021
Maricopa County (602) 468-0317
AMDX, LTD
Specialist
2423 W DUNLAP AVE, #175
PHOENIX, AZ 85021
Maricopa County (602) 424-4450
SEEMA PATEL, MD, PLLC
General Acute Care Hospital
2423 W DUNLAP AVE, SUITE 100
PHOENIX, AZ 85021
Maricopa County (602) 439-0274
TIMOTHY T. KUBERSKI, M.D., P.C.
Internal Medicine (Infectious Disease)
2423 W DUNLAP AVE, SUITE 100
PHOENIX, AZ 85021
Maricopa County (602) 439-0274
ONE TREE INC
Residential Treatment Facility, Physical Disabilities
2423 W DUNLAP AVE
PHOENIX, AZ 85021
Maricopa County (619) 772-6450
NATACIA N HOWARD AUD
Audiologist
2423 W DUNLAP AVE, STE 175
PHOENIX, AZ 85021
Maricopa County (602) 424-4450

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 Frederick Boulware's NPI number?

The NPI number for Frederick Boulware is 1497733174. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Frederick Boulware located?

Frederick Boulware practices at 2423 W Dunlap Ave Ste 130, Phoenix, AZ 85021. The listed phone number is (602) 424-4450.

What is Frederick Boulware's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Frederick Boulware enrolled in Medicare?

Yes. Frederick Boulware is registered in the Medicare PECOS enrollment system.

What insurance does Frederick Boulware accept?

Health plans from Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Frederick Boulware 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 Frederick Boulware was last updated on September 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.