DR. MARK SAMIR BOUTROS M.D.
NPI 1700992674
Internal Medicine in Indianapolis, IN
About Dr. Mark Samir Boutros M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK SAMIR BOUTROS M.D. (NPI 1700992674) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Virginia (0101265722) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Allendale County Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
Dr. Mark Samir Boutros 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.
Medicare Billing Reassignments
9Medicare enrollment records show Mark Boutros reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lawrenceburg, IN 47025
- Reassigned Medicare billing, Indiana enrollment
- 39 clinicians in this Medicare group
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 309 clinicians in this Medicare group
Pulaski, VA 24301
- Reassigned Medicare billing, Virginia enrollment
- 104 clinicians in this Medicare group
Low Moor, VA 24457
- Reassigned Medicare billing, Virginia enrollment
- 88 clinicians in this Medicare group
Salem, VA 24153
- Reassigned Medicare billing, Virginia enrollment
- 181 clinicians in this Medicare group
West Memphis, AR 72301
- Reassigned Medicare billing, Virginia enrollment
- 528 clinicians in this Medicare group
Culpeper, VA 22701
- Reassigned Medicare billing, Virginia enrollment
- 1,294 clinicians in this Medicare group
Vienna, VA 22180
- Reassigned Medicare billing, Virginia and District of Columbia enrollments
- Also billed through NPI 1669511051 (District of Columbia)
- 2,379 clinicians in this Medicare group
Greenwood Village, CO 80111
- Reassigned Medicare billing, South Carolina and Tennessee enrollments
- 7 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 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Allendale County Hospital
Critical Access Hospitals · Fairfax, SCHenry County Medical Center
Acute Care Hospitals · Paris, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mark Boutros's NPI number?
The NPI number for Mark Boutros is 1700992674. It was assigned to this individual provider in the NPPES registry on August 22, 2006.
Where is Mark Boutros located?
Mark Boutros practices at 4200 S East St, Indianapolis, IN 46227. The listed phone number is (317) 991-7600.
What is Mark Boutros's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mark Boutros enrolled in Medicare?
Yes. Mark Boutros 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 Mark Boutros's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Boutros reassigns Medicare benefits to 9 organizations: Hospital Medicine Services Of Tennessee PC (Lawrenceburg, IN), Hospitalist Physicians Of Indiana, PC (Fort Wayne, IN), Kingsford Physician Services, LLC (Pulaski, VA), Ingleside Physician Services, LLC (Low Moor, VA), Lake Spring Physician Services, LLC (Salem, VA) and 4 more organizations, listed in the Medicare section above. 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 Mark Boutros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Boutros accept?
Health plans from BlueCross BlueShield of South Carolina, Cigna Healthcare, Oscar Health and Oscar Insurance Company list Mark Boutros 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 Mark Boutros affiliated with any hospitals?
According to CMS data, Mark Boutros is affiliated with Allendale County Hospital and Henry County Medical Center.
When was this NPI record last updated?
The NPPES record for Mark Boutros was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Mark Samir Boutros, M.D. · NPI 1700992674
Internal Medicine physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since August 22, 2006.
## Identity
- **NPI:** 1700992674 (Entity type: Individual)
- **Enumerated:** August 22, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101265722 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4200 S EAST ST, Indianapolis, IN 46227
- **Phone:** (317) 991-7600 · **Fax:** (317) 215-7038
## 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:** 9 organizations under Medicare reassignment (form CMS-855R): Hospital Medicine Services Of Tennessee PC (NPI 1528433802, Lawrenceburg, IN); Hospitalist Physicians Of Indiana, PC (NPI 1306576277, Fort Wayne, IN); Kingsford Physician Services, LLC (NPI 1871088526, Pulaski, VA); Ingleside Physician Services, LLC (NPI 1932693488, Low Moor, VA); Lake Spring Physician Services, LLC (NPI 1568954287, Salem, VA); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** July 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700992674) · Data from the CMS NPPES public registry.