DR. ANDREW KAMAL BOULOS M.D.
NPI 1922419407
Pediatrics - Pediatric Emergency Medicine in Prosper, TX
NPI Status: Active since May 18, 2014
Contact Information
4100 W UNIVERSITY DR
PROSPER, TX
ZIP 75078
Phone: (945) 204-4100
Fax: (682) 885-1903
- Individual
- Male
- Pediatrics
- Pediatric Emergency Medicine
- Accepts Insurance
- PECOS Enrolled
About ANDREW BOULOS
This page provides the complete NPI Profile along with additional information for Andrew Boulos, a pediatrician established in Prosper, Texas with a medical specialization in Pediatrics, focusing in pediatric emergency medicine . The healthcare provider is registered in the NPI registry with number 1922419407 assigned on May 2014. The practitioner's primary taxonomy code is 2080P0204X with license number S4733 (TX). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1922419407
- Provider Name
- DR. ANDREW KAMAL BOULOS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4100 W UNIVERSITY DR PROSPER, TX 75078
- Location Phone
- (945) 204-4100
- Location Fax
- (682) 885-1903
- Mailing Address
- PO BOX 733784 DALLAS, TX 75373
- Mailing Phone
- (682) 885-6483
- Mailing Fax
- (682) 885-1903
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-18-2014
- Last Update Date
- 08-20-2024
- Code Navigator
A pediatrician like Andrew Boulos is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Emergency Medicine
- Taxonomy Code
- 2080P0204X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- S4733
- License State
- TX
- Taxonomy Description
- A pediatrician who has special qualifications to manage emergencies in infants and children.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Andrew Boulos is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 16 Medicare Claims 16 Services Paid
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1922419407, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PROSPER, TX 75078
PROSPER, TX 75078
PROSPER, TX 75078
PROSPER, TX 75078
PROSPER, TX 75078
PROSPER, TX 75078
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922419407, enumerated as an "individual" on May 18, 2014.
The provider is located at 4100 W UNIVERSITY DR PROSPER, TX 75078 and the phone number is (945) 204-4100.
Pediatrics with taxonomy code 2080P0204X and a focus in Pediatric Emergency Medicine.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to verify.
