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DR. MINA BOUTROUS M.D.
NPI 1619399060
Surgery - Vascular Surgery in Houston, TX

Active since January 19, 2014PECOS EnrolledAccepts Medicare Assignment
79.34/100
CMS Quality Rating
6400 FANNIN ST, SUITE 2850, HOUSTON, TX 77030(713) 486-5100 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2022, Apr 14, 2020 (2 updates tracked since 2020).

About Dr. Mina Boutrous M.d. NPPES

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

DR. MINA BOUTROUS M.D. (NPI 1619399060) is an individual vascular surgery provider in Houston, Texas, licensed in Connecticut (064496) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Farmington, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1619399060
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. MINA BOUTROUSCredential: M.D.
Location Address6400 FANNIN ST, SUITE 2850Houston, TX 77030-1521
Mailing Address6400 Fannin St, Suite 2850Houston, TX 77030-1521 · (713) 486-5100
Phone(713) 486-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 19, 2014
Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
✔ NPI 1619399060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in CT · 064496
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6400 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Secondary Practice Location 1

Location 1263 Farmington AveFarmington, CT 06030-0001 · Phone (860) 679-8080 · Fax (860) 679-1430

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. Mina Boutrous 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 ID3678875143
PECOS Enrollment IDI20200519001827
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 10

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 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.
57 services47 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
36 services30 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
36 services31 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.
35 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
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.

79.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.22
Promoting Interoperability100
Improvement Activities40
Cost48.08

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.

TEXAS MEDICAL CENTER DENTAL
Dentist (General Practice)
6400 FANNIN ST, SUITE 2040
HOUSTON, TX 77030
Harris County (713) 795-0608
SCOTT JAMES RYAN MD
Surgery (Vascular Surgery)
6400 FANNIN ST
HOUSTON, TX 77030
Harris County (713) 486-5100
KRISTIN WHANGER PACINI PA
Physician Assistant (Surgical)
6400 FANNIN ST, 1700
HOUSTON, TX 77030
Harris County (713) 486-1800
DR. RANA OMAR AFIFI MD
Surgery (Vascular Surgery)
6400 FANNIN ST, SUITE NUMBER 2850
HOUSTON, TX 77030
Harris County (713) 486-5100
DR. MICHAEL S SWEENEY M.D.,
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6400 FANNIN ST, STE 3000
HOUSTON, TX 77030
Harris County (713) 790-0841
BAYLOR COLLEGE OF MEDICINE, DEPARTMENT OF ORTHOPEDIC SURGERY
Orthopaedic Surgery
6400 FANNIN ST, SUITE 1620
HOUSTON, TX 77030
Harris County (713) 740-2200
TARA L WEGRYN MD PA
Specialist
6400 FANNIN ST, SUITE 2295
HOUSTON, TX 77030
Harris County (713) 791-9778
JORDANNA ESPANOLA MSN, RN, FNP-C
Nurse Practitioner (Family)
6400 FANNIN ST, SUITE 1400
HOUSTON, TX 77030
Harris County (281) 914-9756

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 Mina Boutrous's NPI number?

The NPI number for Mina Boutrous is 1619399060. It was assigned to this individual provider in the NPPES registry on January 19, 2014.

Where is Mina Boutrous located?

Mina Boutrous practices at 6400 Fannin St Suite 2850, Houston, TX 77030. The listed phone number is (713) 486-5100.

What is Mina Boutrous's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Mina Boutrous enrolled in Medicare?

Yes. Mina Boutrous 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 Mina Boutrous was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.