Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARK SAMIR BOUTROS M.D.
NPI 1700992674
Internal Medicine in Indianapolis, IN

Active since August 22, 2006PECOS Enrolled
4200 S EAST ST, INDIANAPOLIS, IN 46227(317) 991-7600(317) 215-7038 Get Directions Write a Review

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

Record update history: Jul 23, 2026, Jun 17, 2018 (2 updates tracked since 2018).

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

NPI1700992674
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARK SAMIR BOUTROSCredential: M.D.
Location Address4200 S EAST STIndianapolis, IN 46227
Mailing Address4200 S East StIndianapolis, IN 46227-1534 · (317) 991-7600 · Fax (317) 215-7038
Fax(317) 215-7038
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1700992674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in VA · 0101265722 Licensed in IN · 01070720A Licensed in TN · 247040 Licensed in SC · 88883
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4200 S EAST ST, Indianapolis, IN 46227

Secondary Practice Locations 2

Location 11787 Allendale Fairfax HwyFairfax, SC 29827-9133 · Phone (303) 390-1940
Location 2301 Tyson AveParis, TN 38242-4544 · Phone (731) 642-1220

Accepted Insurance

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

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.

PECOS PAC ID6800080334
PECOS Enrollment IDI20190523002521, I20260202003557
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 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.

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.
430 services212 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.
351 services167 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
174 services168 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
150 services147 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
52 services52 patients

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, SC
OwnershipGovernment - Local
CMS Certification Number421300
Location1787 Allendale Fairfax RdFairfax, SC 29827 · Allendale County
Emergency services

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Physician 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.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers23 claims23 services$13.58 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
2 suppliers29 claims29 services$62.62 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 14

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

Optometrist
4200 S EAST ST
INDIANAPOLIS, IN 46227
Dentist (General Practice)
4200 S EAST ST, SUITE A-14
INDIANAPOLIS, IN 46227
Optometrist
4200 S EAST ST, SUITE D3
INDIANAPOLIS, IN 46227
Nurse Practitioner
4200 S EAST ST
INDIANAPOLIS, IN 46227
Counselor (Mental Health)
4200 S EAST ST
INDIANAPOLIS, IN 46227
Optometrist
4200 S EAST ST
INDIANAPOLIS, IN 46227
Dentist (General Practice)
4200 S EAST ST
INDIANAPOLIS, IN 46227
Pharmacist
4200 S EAST ST
INDIANAPOLIS, IN 46227

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.

What insurance does Mark Boutros accept?

Health plans from AvMed 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 Lewisgale 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 14 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.