NIHAD M BOUTROS M.D.
NPI 1508869454
Internal Medicine - Critical Care Medicine in Canton, OH

Q: What is Nihad Boutros's NPI number?

The NPI number for Nihad Boutros is 1508869454. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Q: What is Nihad Boutros's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Nihad Boutros was last updated on January 5, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment

76.32/100

CMS Quality Rating

2600 TUSCARAWAS ST W, STE 100, CANTON, OH 44708(330) 452-8844(330) 452-7012 Get Directions Write a Review

NPPES record last updated: January 5, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nihad M Boutros M.d. NPPES

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

NIHAD M BOUTROS M.D. (NPI 1508869454) is an individual critical care medicine provider in Canton, Ohio, licensed in Ohio (35-065732) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Aultman Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1508869454

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameNIHAD M BOUTROSCredential: M.D.

Location Address2600 TUSCARAWAS ST W, STE 100Canton, OH 44708-4696

Mailing Address2600 Tuscarawas St W, Ste 100Canton, OH 44708-4696 · (330) 452-8844 · Fax (330) 452-7012

Phone(330) 452-8844

Fax(330) 452-7012

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateMay 24, 2005

Last NPPES UpdateJanuary 5, 2011

✔ NPI 1508869454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in OH · 35-065732

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 35-065732 (OH)

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 35-065732 (OH)

2600 TUSCARAWAS ST W, Canton, OH 44708

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Other Identifiers 10

Medicare PINP00036434

Other000000186380OH · Unison Health Plan

Other341574729FOH · Aultcare

OtherQ035419OH · The Health Plan

Medicare UPINF83732OH

Medicare PINBO0763772OH

Other000000283988OH · Anthem Bc/bs

Other733560OH · Buckeye Community Health

Other341574729036OH · Caresource

Medicaid2401672OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Nihad M Boutros 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 ID4789672684

PECOS Enrollment IDI20040430001082

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 15

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

214 services84 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.

174 services107 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

94 services51 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

78 services45 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

69 services54 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

50 services49 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.

25 services25 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

23 services20 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.

19 services19 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

14 services14 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

13 services13 patients

Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399

A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.

13 services13 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

12 services11 patients

Test to determine lung volumes using sensors 94726

11 services11 patients

Test to examine how well the lungs exchange gases 94729

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Aultman Hospital

Acute Care Hospitals · Canton, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360084

Location2600 Sixth Street SWCanton, OH 44710 · Stark County

Emergency services Birthing friendly

Alliance Community Hospital

Acute Care Hospitals · Alliance, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360131

Location200 East State StreetAlliance, OH 44601 · Stark County

Emergency services

Pomerene Hospital

Acute Care Hospitals · Millersburg, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number360148

Location981 Wooster RoadMillersburg, OH 44654 · Holmes County

Emergency services Birthing friendly

Aultman Orrville Hospital

Critical Access Hospitals · Orrville, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361323

Location832 South Main StreetOrrville, OH 44667 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44708 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

76.32/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

43.33

Promoting Interoperability

100

Improvement Activities

Cost

68.36

Reported Quality Measures

e-Prescribing

93%254 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

96%295 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030