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KEVORK BOULDOUKIAN, M.D., INC.
NPI 1619248523
Internal Medicine in Bakersfield, CA

Active since January 24, 2012
2128 TRUXTUN AVE, BAKERSFIELD, CA 93301(661) 633-9080(661) 633-9081 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kevork Bouldoukian, M.d., Inc. NPPES

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

KEVORK BOULDOUKIAN, M.D., INC. (NPI 1619248523) is a healthcare organization registered as an internal medicine in Bakersfield, California and active in the NPI registry since January 2012. The organization lists Kevork Bouldoukian, Owner, as its authorized official.

NPPES Registry Identity

NPI1619248523
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKEVORK BOULDOUKIAN, M.D., INC.
Location Address2128 TRUXTUN AVEBakersfield, CA 93301-3702
Mailing Address2128 Truxtun AveBakersfield, CA 93301-3702 · (661) 633-9080 · Fax (661) 633-9081
Phone(661) 633-9080
Fax(661) 633-9081
Organization SubpartNo
Authorized OfficialKevork BouldoukianOwner · (661) 633-9080
Enumeration DateJanuary 24, 2012
Last NPPES UpdateDecember 31, 2012
✔ NPI 1619248523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A55931
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2128 TRUXTUN AVE, Bakersfield, CA 93301
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Other Identifiers 2

OtherGF042ACA · Ptan
Medicare UPIN00A55931CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevork Bouldoukian, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120629000413Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kevork Bouldoukian, M.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevork Bouldoukian, M.D.
Internal Medicine
NPI 1720020464
2128 TRUXTUN AVE
Bakersfield, CA 93301
(661) 633-9080
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kevork Bouldoukian, M.D., Inc.'s NPI number?

The NPI number for Kevork Bouldoukian, M.D., Inc. is 1619248523. It was assigned to this organization in the NPPES registry on January 24, 2012.

Where is Kevork Bouldoukian, M.D., Inc. located?

Kevork Bouldoukian, M.D., Inc. is located at 2128 Truxtun Ave, Bakersfield, CA 93301. The listed phone number is (661) 633-9080.

What is Kevork Bouldoukian, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kevork Bouldoukian, M.D., Inc. enrolled in Medicare?

Yes. Kevork Bouldoukian, M.D., Inc. is registered in the Medicare PECOS enrollment system.

When is Kevork Bouldoukian, M.D., Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kevork Bouldoukian, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Kevork Bouldoukian, M.D., Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kevork Bouldoukian, M.D., Inc. was last updated on December 31, 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.