DR. NICKOLAS BOUTRIS M.D.
NPI 1952745804
Orthopaedic Surgery - Sports Medicine in Cypress, TX

Q: What is Nickolas Boutris's NPI number?

The NPI number for Nickolas Boutris is 1952745804. It was assigned to this individual provider in the NPPES registry on April 22, 2013.

Q: What is Nickolas Boutris's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Nickolas Boutris was last updated on March 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 22, 2013PECOS EnrolledAccepts Medicare Assignment

21216 NORTHWEST FWY STE 620, CYPRESS, TX 77429(281) 807-4380(833) 521-2189 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2026, Sep 12, 2019, Jun 30, 2018 (3 updates tracked since 2018).

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About Dr. Nickolas Boutris M.d. NPPES

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

DR. NICKOLAS BOUTRIS M.D. (NPI 1952745804) is an individual sports medicine provider in Cypress, Texas, licensed in Texas (S1054) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Willowbrook Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1952745804

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. NICKOLAS BOUTRISCredential: M.D.

Location Address21216 NORTHWEST FWY STE 620Cypress, TX 77429-4699

Mailing Address4700 Seton Center Pkwy Ste 115Austin, TX 78759-5753 · (281) 807-4380 · Fax (833) 521-2189

Phone(281) 807-4380

Fax(833) 521-2189

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2013

Enumeration DateApril 22, 2013

Last NPPES UpdateMarch 11, 20263 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1952745804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in TX · S1054

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License S1054 (TX)

21216 NORTHWEST FWY STE 620, Cypress, TX 77429

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Secondary Practice Locations 3

Location 126400 Kuykendahl Rd Ste A250Tomball, TX 77375-2984 · Phone (281) 407-5092 · Fax (833) 764-5063

Location 213802 Centerfield Dr Ste 300Houston, TX 77070-6043 · Phone (281) 737-0999

Location 3130 E 77th St Fl 11New York, NY 10075 · Phone (212) 434-2710

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and more.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. Nickolas Boutris 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 ID7810226586

PECOS Enrollment IDI20190905000474

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 8

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

124 services22 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.

92 services57 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

48 services38 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

39 services29 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.

29 services29 patients

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.

22 services20 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450844

Location18220 State Highway 249Houston, TX 77070 · Harris County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS TYDLACKA PT, DPT

Physical Therapist (Orthopedic)