DR. ANTOINE BOUSTANY MD
NPI 1669044871
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Q: What is Antoine Boustany's NPI number?

The NPI number for Antoine Boustany is 1669044871. It was assigned to this individual provider in the NPPES registry on July 15, 2021.

Q: What is Antoine Boustany's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Antoine Boustany was last updated on August 27, 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.

Active since July 15, 2021PECOS Enrolled

18101 LORAIN AVE, CLEVELAND, OH 44111(216) 385-6863 Get Directions Write a Review

NPPES record last updated: August 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 27, 2022, Jul 15, 2021 (2 updates tracked since 2021).

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About Dr. Antoine Boustany Md NPPES

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

DR. ANTOINE BOUSTANY MD (NPI 1669044871) is an individual student in an organized health care education/training program in Cleveland, Ohio, licensed in Ohio (57.251393) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669044871

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ANTOINE BOUSTANYCredential: MD

Location Address18101 LORAIN AVECleveland, OH 44111-5612

Mailing Address18101 Lorain AveCleveland, OH 44111-5612 · (216) 237-5888

Phone(216) 385-6863

Sole ProprietorYes

Enumeration DateJuly 15, 2021

Last NPPES UpdateAugust 27, 20222 updates tracked since enumeration

NPPES CertifiedAugust 27, 2022

✔ NPI 1669044871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in OH · 57.251393

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

18101 LORAIN AVE, Cleveland, OH 44111

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Antoine Boustany Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

JOSEPH EL DAHDAH MD

Student in an Organized Health Care Education/Training Program