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SCOTT C BOULANGER MD
NPI 1780616615
Surgery - Pediatric Surgery in Akron, OH

Active since July 07, 2006PECOS Enrolled
1 PERKINS SQ, AKRON, OH 44308(330) 543-6060(330) 543-6069 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2021, Sep 28, 2015 (2 updates tracked since 2015).

About Scott C Boulanger Md NPPES

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

SCOTT C BOULANGER MD (NPI 1780616615) is an individual pediatric surgery provider in Akron, Ohio, licensed in Ohio (35.087801) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780616615
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameSCOTT C BOULANGERCredential: MD
Location Address1 PERKINS SQAkron, OH 44308-1063
Mailing Address1 Perkins SqAkron, OH 44308-1063 · (330) 543-6060 · Fax (330) 543-6069
Phone(330) 543-6060
Fax(330) 543-6069
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateApril 21, 20212 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1780616615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in OH · 35.087801
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
1 PERKINS SQ, Akron, OH 44308
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott C Boulanger 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Scott Boulanger reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Medical Center Of Akron
0.5 mi
Diagnostic Radiology
1 PERKINS SQ
Akron, OH 44308
  • Reassigned Medicare billing, Ohio enrollment
  • 559 clinicians in this Medicare group
NPI 1780857797 (330) 543-1000
The Metrohealth System
28 mi
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
NPI 1053353896 (216) 957-2442
University Hospitals Medical Group Inc
30 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. HIBA KHANKAN M.D
Pediatrics
1 PERKINS SQ
AKRON, OH 44308
Summit County (330) 543-8178
AARON SWEENEY M.D.
Pediatrics
1 PERKINS SQ
AKRON, OH 44308
Summit County (330) 543-1000
KRITIKA SUKUMAR
Pediatrics
1 PERKINS SQ
AKRON, OH 44308
Summit County (330) 543-1000
JESSICA BARBIERI MS, RD, LD
Dietitian, Registered
1 PERKINS SQ
AKRON, OH 44308
Summit County (330) 543-0696
KIMBERLY NOCK APRN, NNP-BC
Nurse Practitioner (Neonatal)
1 PERKINS SQ
AKRON, OH 44308
Summit County (330) 543-1000
DANIELLE GRACEN ERICKSEN DO
Student in an Organized Health Care Education/Training Program
1 PERKINS SQ
AKRON, OH 44308
Summit County (515) 570-6448
MARGARET C MCBRIDE M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1 PERKINS SQ
AKRON, OH 44308
Summit County (330) 543-8050
MICHAEL L. BOWMAN MD
Pediatrics (Neonatal-Perinatal Medicine)
1 PERKINS SQ
AKRON, OH 44308
Summit County (330) 543-8004

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 Scott Boulanger's NPI number?

The NPI number for Scott Boulanger is 1780616615. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Scott Boulanger located?

Scott Boulanger practices at 1 Perkins Sq, Akron, OH 44308. The listed phone number is (330) 543-6060.

What is Scott Boulanger's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Scott Boulanger enrolled in Medicare?

Yes. Scott Boulanger is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Scott Boulanger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Boulanger reassigns Medicare benefits to 3 organizations: Children's Hospital Medical Center Of Akron (Akron, OH), The Metrohealth System (Cleveland, OH) and University Hospitals Medical Group Inc (Cleveland, OH). 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 Scott Boulanger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Boulanger accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and SummaCare and 1 other insurer list Scott Boulanger 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.

When was this NPI record last updated?

The NPPES record for Scott Boulanger was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.