DR. ANI A BODOUTCHIAN M.D.
NPI 1508807447
Family Medicine in West Babylon, NY

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
120 ROUTE 109, WEST BABYLON, NY 11704(631) 422-3636(631) 422-2788 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ani A Bodoutchian M.d. NPPES

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

DR. ANI A BODOUTCHIAN M.D. (NPI 1508807447) is an individual family medicine provider in West Babylon, New York, licensed in New York (210217) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1508807447
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANI A BODOUTCHIANCredential: M.D.
Location Address120 ROUTE 109West Babylon, NY 11704-6210
Mailing Address120 Route 109West Babylon, NY 11704-6210 · (631) 422-3636 · Fax (631) 422-2788
Fax(631) 422-2788
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateJune 10, 2006
Last NPPES UpdateApril 7, 2022
NPPES CertifiedApril 7, 2022
NPI 1508807447 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 · 210217
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.
120 ROUTE 109, West Babylon, NY 11704

Other Identifiers 9

Other102407NY · Aetna Us Healthcare
Other2C5668NY · Health Net
Medicaid01944994NY
Other080149262NY · Railroad Medicare
Other104807NY · Vytra
Other5998961NY · Ghi
OtherP2000685NY · Oxford
Other5443340002NY · Medicare Dme
Other1317543NY · Cigna

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. Ani A Bodoutchian M.d. 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 ID9133163348
PECOS Enrollment IDI20050617000266
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 12

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
224 services118 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.
188 services102 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.
124 services118 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
116 services113 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
103 services103 patients
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.
72 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11704 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

Family Medicine
120 ROUTE 109
WEST BABYLON, NY 11704

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 Ani Bodoutchian's NPI number?

The NPI number for Ani Bodoutchian is 1508807447. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Ani Bodoutchian located?

Ani Bodoutchian practices at 120 Route 109, West Babylon, NY 11704. The listed phone number is (631) 422-3636.

What is Ani Bodoutchian's specialty?

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

Is Ani Bodoutchian enrolled in Medicare?

Yes. Ani Bodoutchian 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.

When was this NPI record last updated?

The NPPES record for Ani Bodoutchian was last updated on April 7, 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.