DR. ANDREW KAMAL BOULOS M.D.
NPI 1922419407
Pediatrics - Pediatric Emergency Medicine in Prosper, TX

Q: What is Andrew Boulos's NPI number?

The NPI number for Andrew Boulos is 1922419407. It was assigned to this individual provider in the NPPES registry on May 18, 2014.

Q: What is Andrew Boulos's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Boulos was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 May 18, 2014PECOS Enrolled

4100 W UNIVERSITY DR, PROSPER, TX 75078(945) 204-4100(682) 885-1903 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2024, Oct 18, 2021, Oct 19, 2020 and 3 more (6 updates tracked since 2017).

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About Dr. Andrew Kamal Boulos M.d. NPPES

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

DR. ANDREW KAMAL BOULOS M.D. (NPI 1922419407) is an individual pediatric emergency medicine provider in Prosper, Texas, licensed in Texas (S4733) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922419407

Entity TypeIndividualMale

Primary Taxonomy2080P0204X

Provider Legal NameDR. ANDREW KAMAL BOULOSCredential: M.D.

Location Address4100 W UNIVERSITY DRProsper, TX 75078-3123

Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6483 · Fax (682) 885-3113

Phone(945) 204-4100

Fax(682) 885-1903

Sole ProprietorNo

Enumeration DateMay 18, 2014

Last NPPES UpdateAugust 20, 20246 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1922419407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in TX · S4733

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

4100 W UNIVERSITY DR, Prosper, TX 75078

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew Kamal Boulos M.d. 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers16 claims16 services$74.91 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SANA JAMIL SIDDIQUI-YOUSUFZAI M.D.

Hospitalist