ANDREW BOULOS DO
NPI 1689010100
Internal Medicine - Pulmonary Disease in Pueblo, CO

Active since May 13, 2013PECOS EnrolledAccepts Medicare Assignment
1600 N GRAND AVE STE 140, PUEBLO, CO 81003(719) 564-1542(719) 566-0916 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2025, Jul 11, 2022 (2 updates tracked since 2022).

About Andrew Boulos Do NPPES

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

ANDREW BOULOS DO (NPI 1689010100) is an individual pulmonary disease provider in Pueblo, Colorado, licensed in Colorado (DR.0058436) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Western University Of Health Sciences College Of Dental Med (2013).

NPPES Registry Identity

NPI1689010100
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameANDREW BOULOSCredential: DO
Location Address1600 N GRAND AVE STE 140Pueblo, CO 81003-2755
Mailing Address2222 N Nevada Ave Ste 4004Colorado Springs, CO 80907-6832 · (719) 471-7064
Fax(719) 566-0916
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2013
Enumeration DateMay 13, 2013
Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
NPI 1689010100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in CO · DR.0058436
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1600 N GRAND AVE STE 140, Pueblo, CO 81003

Secondary Practice Locations 2

Location 12222 N Nevada Ave Ste 4004Colorado Springs, CO 80907-6832 · Phone (719) 471-7064
Location 2400 N Pepper Ave Ste 204Colton, CA 92324-1801 · Phone (909) 580-6266

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

Andrew Boulos Do 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 ID446548275
PECOS Enrollment IDI20200724000701
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 19

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
336 services188 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
191 services105 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.
137 services77 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
86 services77 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
52 services52 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
45 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81003 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers12 claims12 services$53.94 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers13 claims13 services$16.49 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers12 claims12 services$13.96 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers24 claims131 services$1.99 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers25 claims25 services$27.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers111 claims111 services$71.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Student in an Organized Health Care Education/Training Program
1600 N GRAND AVE STE 140
PUEBLO, CO 81003
Internal Medicine (Pulmonary Disease)
1600 N GRAND AVE STE 140
PUEBLO, CO 81003
Internal Medicine (Pulmonary Disease)
1600 N GRAND AVE STE 140
PUEBLO, CO 81003
Internal Medicine (Pulmonary Disease)
1600 N GRAND AVE STE 140
PUEBLO, CO 81003
Internal Medicine (Pulmonary Disease)
1600 N GRAND AVE STE 140
PUEBLO, CO 81003
Internal Medicine
1600 N GRAND AVE STE 140
PUEBLO, CO 81003

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 Andrew Boulos's NPI number?

The NPI number for Andrew Boulos is 1689010100. It was assigned to this individual provider in the NPPES registry on May 13, 2013.

Where is Andrew Boulos located?

Andrew Boulos practices at 1600 N Grand Ave Ste 140, Pueblo, CO 81003. The listed phone number is (719) 564-1542.

What is Andrew Boulos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Andrew Boulos enrolled in Medicare?

Yes. Andrew Boulos 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 Andrew Boulos was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.