DR. DANY BOULOS M.D.
NPI 1780830703
Family Medicine in Philadelphia, PA

Active since August 11, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
11000 ROOSEVELT BLVD, 360, PHILADELPHIA, PA 19116(215) 677-1475(215) 677-3082 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dany Boulos M.d. NPPES

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

DR. DANY BOULOS M.D. (NPI 1780830703) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Illinois (036141752) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780830703
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DANY BOULOSCredential: M.D.
Location Address11000 ROOSEVELT BLVD, 360Philadelphia, PA 19116-3961
Mailing AddressPo Box 820933Philadelphia, PA 19182-0933 · (215) 926-9010 · Fax (215) 226-8685
Fax(215) 677-3082
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 11, 2008
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
NPI 1780830703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IL · 036141752 Licensed in PA · MD453720 Licensed in IN · 01068800A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 036141752 (IL)
11000 ROOSEVELT BLVD, Philadelphia, PA 19116

Secondary Practice Locations 2

Location 1519 S Roselle RdSchaumburg, IL 60193-2925 · Phone (847) 985-0600 · Fax (847) 985-0600
Location 2486 Randall Rd Unit BSouth Elgin, IL 60177-3354 · Phone (224) 783-5000 · Fax (224) 782-5018

Other Identifiers 3

Other000000718849IN · Anthem
Medicaid201024290IN
Other036141752IL · State License

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. Dany Boulos 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 ID446428767
PECOS Enrollment IDI20170807002615
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 4

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.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services37 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
20 services19 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19116 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

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.

Clinic/Center (Physical Therapy)
11000 ROOSEVELT BLVD, WORLD GYM FITNESS CENTER
PHILADELPHIA, PA 19116
Pharmacist
11000 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Clinic/Center (Urgent Care)
11000 ROOSEVELT BLVD, 360
PHILADELPHIA, PA 19116
Pharmacist
11000 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Pharmacy Technician
11000 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Emergency Medicine
11000 ROOSEVELT BLVD, 360
PHILADELPHIA, PA 19116
Physical Therapist
11000 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Local Education Agency (LEA)
11000 ROOSEVELT BLVD
PHILADELPHIA, PA 19116

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 Dany Boulos's NPI number?

The NPI number for Dany Boulos is 1780830703. It was assigned to this individual provider in the NPPES registry on August 11, 2008.

Where is Dany Boulos located?

Dany Boulos practices at 11000 Roosevelt Blvd 360, Philadelphia, PA 19116. The listed phone number is (215) 677-1475.

What is Dany Boulos's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dany Boulos enrolled in Medicare?

Yes. Dany 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.

What insurance does Dany Boulos accept?

Health plans from Molina Healthcare list Dany 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 Dany Boulos affiliated with any hospitals?

According to CMS data, Dany Boulos is affiliated with Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Dany Boulos was last updated on March 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.