JOSEPH ALFRED BOULAY JR. M.D.
NPI 1962467910
Internal Medicine - Gastroenterology in St Petersburg, FL

Q: What is Joseph Boulay's NPI number?

The NPI number for Joseph Boulay is 1962467910. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Joseph Boulay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Boulay was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 20, 2006PECOS EnrolledAccepts Medicare Assignment

85.38/100

CMS Quality Rating

6198 52ND ST S, ST PETERSBURG, FL 33715(727) 410-6399 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2026, Nov 17, 2020 (2 updates tracked since 2020).

On this page

About Joseph Alfred Boulay Jr. M.d. NPPES

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

JOSEPH ALFRED BOULAY JR. M.D. (NPI 1962467910) is an individual gastroenterology provider in St Petersburg, Florida, licensed in Florida (ME0040296) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962467910

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameJOSEPH ALFRED BOULAY JR.Credential: M.D.

Location Address6198 52ND ST SSt Petersburg, FL 33715-2405

Mailing Address6198 52nd St SSt Petersburg, FL 33715-2405 · (727) 410-6399

Phone(727) 410-6399

Sole ProprietorYes

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1981

Enumeration DateApril 20, 2006

Last NPPES UpdateApril 10, 20262 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1962467910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in FL · ME0040296

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

6198 52ND ST S, St Petersburg, FL 33715

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11425 Malabar Rd NEPalm Bay, FL 32907-2506 · Phone (321) 434-8078

Location 21350 Hickory StMelbourne, FL 32901-3224 · Phone (321) 434-1771

Other Identifiers 2

OtherLQ519FL · Medicare - Fl

Medicaid102026500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Joseph Alfred Boulay Jr. 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 ID9931118338

PECOS Enrollment IDI20100216000998

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.

Hospital Affiliations CMS Care Compare

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100019

Location1350 S Hickory StMelbourne, FL 32901 · Brevard County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33715 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

85.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.65

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 2

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

CAROL ANNE BOULAY ARNP

Nurse Practitioner (Adult Health)

6198 52ND ST S
ST PETERSBURG, FL 33715

Pinellas County (727) 409-9211

JOSEPH A BOULAY JR MD PA

Internal Medicine (Gastroenterology)

6198 52ND ST S
ST PETERSBURG, FL 33715

Pinellas County (727) 410-6399

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 Joseph Boulay's NPI number?

The NPI number for Joseph Boulay is 1962467910. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Joseph Boulay located?

Joseph Boulay practices at 6198 52nd St S, St Petersburg, FL 33715. The listed phone number is (727) 410-6399.

What is Joseph Boulay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Joseph Boulay enrolled in Medicare?

Yes. Joseph Boulay 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.

What insurance does Joseph Boulay accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Joseph Boulay 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 Joseph Boulay affiliated with any hospitals?

According to CMS data, Joseph Boulay is affiliated with Holmes Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Boulay was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.