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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: November 01, 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 Advocate Sherman Hospital, 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
Phone(215) 677-1475
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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Dany Boulos reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cepamerica Illinois LLP
671 mi
Emergency Medicine
2900 N LAKE SHORE DR
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
NPI 1134677370 (773) 665-3000
Advocate Health And Hospitals Corp.
673 mi
Cardiovascular Disease
3118 N ASHLAND AVE
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1003542184 (Illinois)
  • 4,870 clinicians in this Medicare group
NPI 1487951711 (773) 880-9722
Endeavor Health Medical Group
675 mi
Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1265695944 (847) 570-2760
Northwest Community Health Services Inc
691 mi
Obstetrics
880 W CENTRAL RD STE 6200
Arlington Heights, IL 60005
  • Reassigned Medicare billing, Illinois enrollment
  • 346 clinicians in this Medicare group
NPI 1467057513 (847) 618-0730

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 10

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 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.
254 services250 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
93 services89 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
57 services57 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
27 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.
21 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane 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.

KUNAL ANANDPARA DO
Family Medicine (Sports Medicine)
11000 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Philadelphia County (215) 677-1475
ANDREW ZENNER
Pharmacy Technician
11000 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Philadelphia County (215) 305-0001
LAWRENCE ALBERT MD
Emergency Medicine
11000 ROOSEVELT BLVD, 360
PHILADELPHIA, PA 19116
Philadelphia County (215) 677-1475
SUNNY MARVANIA PHARMD
Pharmacist
11000 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Philadelphia County (215) 305-0001
KATTY LYAMZIN DPT
Physical Therapist
11000 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Philadelphia County (215) 677-1475
DR. BRADLEY ALLAN FINK DO
Orthopaedic Surgery
11000 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Philadelphia County (215) 926-3777
DR. POOJA MIDHA PHARM.D
Pharmacist
11000 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Philadelphia County (215) 305-0001
TEMPLE PHYSICIANS INC
Orthopaedic Surgery
11000 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Philadelphia County (215) 291-3777

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.

Which organizations bill Medicare for Dany Boulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dany Boulos reassigns Medicare benefits to 4 organizations: Cepamerica Illinois LLP (Chicago, IL), Advocate Health And Hospitals Corp. (Chicago, IL), Endeavor Health Medical Group (Evanston, IL) and Northwest Community Health Services Inc (Arlington Heights, IL). 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 Dany Boulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dany Boulos accept?

Health plans from Ambetter Health and Ambetter Health of Delaware 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 Advocate Sherman Hospital.

When was this NPI record last updated?

The NPPES record for Dany Boulos was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.