JOHN F BOUTROS PA-C
NPI 1811208549
Physician Assistant in Bronx, NY

Q: What is John Boutros's NPI number?

The NPI number for John Boutros is 1811208549. It was assigned to this individual provider in the NPPES registry on June 28, 2010.

Q: What is John Boutros's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for John Boutros was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 28, 2010PECOS Enrolled

2015 GRAND CONCOURSE, BRONX, NY 10453(718) 299-7295 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About John F Boutros Pa-c NPPES

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

JOHN F BOUTROS PA-C (NPI 1811208549) is an individual physician assistant in Bronx, New York, licensed in New York (016293) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Allentown.

NPPES Registry Identity

NPI1811208549

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJOHN F BOUTROSCredential: PA-C

Location Address2015 GRAND CONCOURSEBronx, NY 10453

Mailing Address3198 Grand ConcourseBronx, NY 10458-1000 · (718) 618-0401

Phone(718) 299-7295

Sole ProprietorNo

Enumeration DateJune 28, 2010

Last NPPES UpdateApril 2, 2019

✔ NPI 1811208549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 016293

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2015 GRAND CONCOURSE, Bronx, NY 10453

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Secondary Practice Location 1

Location 11259 S Cedar Crest Blvd, Suite 100Allentown, PA 18103-6372 · Phone (610) 437-4134

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John F Boutros Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10453 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MANA RAO M.D.

Internal Medicine (Infectious Disease)