1. Home
  2. Directory
  3. Michigan
  4. Midland
  5. Anesthesiology
  6. NPI Profile

RACHA W BOULOS MD
NPI 1689135196
Anesthesiology in Midland, MI

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
4000 WELLNESS DR, MIDLAND, MI 48670(989) 839-3000(989) 839-3168 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2026, Aug 7, 2024, Aug 3, 2024 (3 updates tracked since 2024).

About Racha W Boulos Md NPPES

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

RACHA W BOULOS MD (NPI 1689135196) is an individual anesthesiology provider in Midland, Michigan, licensed in Michigan (4301512283) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689135196
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameRACHA W BOULOSCredential: MD
Location Address4000 WELLNESS DRMidland, MI 48670-1000
Mailing Address4000 Wellness DrMidland, MI 48670-1000 · (844) 832-1956 · Fax (989) 633-5241
Phone(989) 839-3000
Fax(989) 839-3168
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 27, 2019
Last NPPES UpdateApril 23, 20263 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1689135196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in MI · 4301512283
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4000 WELLNESS DR, Midland, MI 48670
Open in Google Maps ↗

Other Names 1

Former Name (1)Racha W Tadros Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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

Racha W Boulos Md 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 ID1355889742
PECOS Enrollment IDI20240916000896
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Racha Boulos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mymichigan Medical Center Midland
Same address
Anesthesiology
4000 WELLNESS DR
Midland, MI 48670
  • Reassigned Medicare billing, Michigan enrollment
  • 63 clinicians in this Medicare group
NPI 1649010455 (989) 839-3000
Henry Ford Health System
106 mi
Anesthesiology
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 130 clinicians in this Medicare group
NPI 1003989690 (313) 916-2600

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 2

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

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.

MOUSAB ETEER
Anesthesiology
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
MICHAEL DANIEL HOWSON PA-C
Physician Assistant
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
EBIN SEBASTIAN MBBS
Radiology (Radiation Oncology)
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (248) 551-3000
ALLISON ROSE BALDWIN
Student in an Organized Health Care Education/Training Program
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
GABRIEL FEATHER
Registered Nurse (Critical Care Medicine)
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
DR. BAYAN BAKIR MD
Pediatrics
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
LORI-ANN BISSELL
Speech-Language Pathologist
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3000
DR. ABRITA CHOWDHURY MD
Family Medicine
4000 WELLNESS DR
MIDLAND, MI 48670
Midland County (989) 839-3320

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 Racha Boulos's NPI number?

The NPI number for Racha Boulos is 1689135196. It was assigned to this individual provider in the NPPES registry on March 27, 2019. The provider is also known as Racha W Tadros MD.

Where is Racha Boulos located?

Racha Boulos practices at 4000 Wellness Dr, Midland, MI 48670. The listed phone number is (989) 839-3000.

What is Racha Boulos's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Racha Boulos enrolled in Medicare?

Yes. Racha 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.

Which organizations bill Medicare for Racha Boulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Racha Boulos reassigns Medicare benefits to 2 organizations: Mymichigan Medical Center Midland (Midland, MI) and Henry Ford Health System (Detroit, MI). 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 Racha Boulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Racha Boulos accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Racha Boulos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Racha Boulos affiliated with any hospitals?

According to CMS data, Racha Boulos is affiliated with Henry Ford Macomb Hospital, Henry Ford Health Hospital and Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Racha Boulos was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.