DANI BOULATTOUF M.D.
NPI 1609006618
Family Medicine in Pasadena, MD

Active since July 24, 2009PECOS EnrolledAccepts Medicare Assignment
61.68/100
CMS Quality Rating
8105 RITCHIE HWY, PASADENA, MD 21122(443) 573-0564(443) 573-0565 Get Directions Write a Review

NPPES record last updated: February 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 15, 2021, Mar 28, 2018 (2 updates tracked since 2018).

About Dani Boulattouf M.d. NPPES

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

DANI BOULATTOUF M.D. (NPI 1609006618) is an individual family medicine provider in Pasadena, Maryland, licensed in New Jersey (25MA10672000) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1609006618
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANI BOULATTOUFCredential: M.D.
Location Address8105 RITCHIE HWYPasadena, MD 21122-3905
Mailing Address5000 Cox RdGlen Allen, VA 23060-9263 · (804) 968-5700
Fax(443) 573-0565
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 24, 2009
Last NPPES UpdateFebruary 15, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2021
NPI 1609006618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NJ · 25MA10672000 Licensed in MD · D0073254
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.
8105 RITCHIE HWY, Pasadena, MD 21122

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

Dani Boulattouf 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 ID5698812923
PECOS Enrollment IDI20120216000156, I20140108000993, I20191105000175, I20230403002242
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 24

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.

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.
318 services309 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
205 services201 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
134 services65 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
118 services118 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.
106 services99 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
97 services94 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21122 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

61.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.98
Promoting Interoperability0
Improvement Activities40
Cost72.62

Other Providers at the Same Location NPPES 14

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

Physician Assistant (Medical)
8105 RITCHIE HWY
PASADENA, MD 21122
Emergency Medicine
8105 RITCHIE HWY
PASADENA, MD 21122
Nurse Practitioner (Family)
8105 RITCHIE HWY
PASADENA, MD 21122
Physician Assistant
8105 RITCHIE HWY
PASADENA, MD 21122
Physician Assistant (Medical)
8105 RITCHIE HWY
PASADENA, MD 21122
Emergency Medicine
8105 RITCHIE HWY
PASADENA, MD 21122
Emergency Medicine
8105 RITCHIE HWY
PASADENA, MD 21122
Physician Assistant
8105 RITCHIE HWY
PASADENA, MD 21122

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 Dani Boulattouf's NPI number?

The NPI number for Dani Boulattouf is 1609006618. It was assigned to this individual provider in the NPPES registry on July 24, 2009.

Where is Dani Boulattouf located?

Dani Boulattouf practices at 8105 Ritchie Hwy, Pasadena, MD 21122. The listed phone number is (443) 573-0564.

What is Dani Boulattouf's specialty?

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

Is Dani Boulattouf enrolled in Medicare?

Yes. Dani Boulattouf 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 Dani Boulattouf was last updated on February 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.