FADY BOULES
NPI 1639541022
Nurse Practitioner - Psychiatric/Mental Health in Redlands, CA
About Fady Boules NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FADY BOULES (NPI 1639541022) is an individual psychiatric/mental health provider in Redlands, California, licensed in California (95003306) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, maintains 11 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 11
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Fady Boules 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.
Medicare Billing Reassignments
4Medicare enrollment records show Fady Boules reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Redlands, CA 92373
- Reassigned Medicare billing, California enrollment
- 194 clinicians in this Medicare group
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 149 clinicians in this Medicare group
West Hollywood, CA 90046
- Reassigned Medicare billing, California enrollment
- 204 clinicians in this Medicare group
Le Grand, CA 95333
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Golden Valley Health Centers
- 440 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
REDLANDS, CA 92373
REDLANDS, CA 92373
REDLANDS, CA 92373
REDLANDS, CA 92373
REDLANDS, CA 92373
REDLANDS, CA 92373
REDLANDS, CA 92373
REDLANDS, CA 92373
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 Fady Boules's NPI number?
The NPI number for Fady Boules is 1639541022. It was assigned to this individual provider in the NPPES registry on October 23, 2015.
Where is Fady Boules located?
Fady Boules practices at 1809 W Redlands Blvd Ste 103, Redlands, CA 92373. The listed phone number is (909) 707-6261.
What is Fady Boules's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Fady Boules enrolled in Medicare?
Yes. Fady Boules 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.
Which organizations bill Medicare for Fady Boules's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fady Boules reassigns Medicare benefits to 4 organizations: Inland Psychiatric Medical Group, Inc. (Redlands, CA), Pinnacle Medical Group, Inc (Fontana, CA), Mellow Medical Inc A Professional Corporation (West Hollywood, CA) and Golden Valley Health Center (Le Grand, CA). Each 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 Fady Boules's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Fady Boules was last updated on October 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.
# Fady Boules · NPI 1639541022
Psychiatric/Mental Health physician in Redlands, California. Individual provider, active in the CMS NPPES registry since October 23, 2015.
## Identity
- **NPI:** 1639541022 (Entity type: Individual)
- **Enumerated:** October 23, 2015
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95003306 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1809 W REDLANDS BLVD STE 103, Redlands, CA 92373-8054
- **Phone:** (909) 707-6261
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Inland Psychiatric Medical Group, Inc. (NPI 1275824369, Redlands, CA); Pinnacle Medical Group, Inc (NPI 1376876912, Fontana, CA); Mellow Medical Inc A Professional Corporation (NPI 1407275886, West Hollywood, CA); Golden Valley Health Center (NPI 1356325310, Le Grand, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 16, 2026
- **Other identifiers:** Other D4304887 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1639541022) · Data from the CMS NPPES public registry.