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DR. ATHOS BOUSVAROS MD, MPH
NPI 1528174885
Pediatrics - Pediatric Gastroenterology in Boston, MA

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-2962 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Athos Bousvaros Md, Mph NPPES

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

DR. ATHOS BOUSVAROS MD, MPH (NPI 1528174885) is an individual pediatric gastroenterology provider in Boston, Massachusetts, licensed in Massachusetts (58765) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Boston Children's Hospital, and is a graduate of Duke University School Of Medicine (1985).

NPPES Registry Identity

NPI1528174885
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. ATHOS BOUSVAROSCredential: MD, MPH
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address8 Frances RdLexington, MA 02421-7512 · (781) 623-3956
Phone(617) 355-2962
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1985
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1528174885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in MA · 58765
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
300 LONGWOOD AVE, Boston, MA 02115
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Other Identifiers 3

Medicaid3074854MA
Medicare UPINE78548
Medicare ID-Type UnspecifiedJ10872

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Athos Bousvaros Md, Mph 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 ID1456340959
PECOS Enrollment IDI20040510001167
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.

Hospital Affiliations CMS Care Compare

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

Boston Children's Hospital

Childrens · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number223302
Location300 Longwood AvenueBoston, MA 02115 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MRS. LAUREN ASHLEY SHARIS P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

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 Athos Bousvaros's NPI number?

The NPI number for Athos Bousvaros is 1528174885. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Athos Bousvaros located?

Athos Bousvaros practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-2962.

What is Athos Bousvaros's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Athos Bousvaros enrolled in Medicare?

Yes. Athos Bousvaros 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.

What insurance does Athos Bousvaros accept?

Health plans from Anthem Blue Cross and Blue Shield list Athos Bousvaros 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 Athos Bousvaros affiliated with any hospitals?

According to CMS data, Athos Bousvaros is affiliated with Boston Children's Hospital.

When was this NPI record last updated?

The NPPES record for Athos Bousvaros was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.