JOSEPH ALFRED BOULAY JR. M.D.
NPI 1962467910
Internal Medicine - Gastroenterology in St Petersburg, FL
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
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Joseph Boulay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Melbourne, FL 32901
- Reassigned Medicare billing, Florida enrollment
- 773 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holmes Regional Medical Center
Acute Care Hospitals · Melbourne, FLSt Anthonys Hospital
Acute Care Hospitals · Saint Petersburg, FLPhysician 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.
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.
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.
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.
Which organization bills Medicare for Joseph Boulay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Boulay reassigns Medicare benefits to Health First Medical Group, LLC (Melbourne, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joseph Boulay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 and St Anthonys Hospital.
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 6 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.
# Joseph Alfred Boulay Jr., M.D. · NPI 1962467910
Gastroenterology physician in St Petersburg, Florida. Individual provider, active in the CMS NPPES registry since April 20, 2006.
## Identity
- **NPI:** 1962467910 (Entity type: Individual)
- **Enumerated:** April 20, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** ME0040296 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6198 52ND ST S, St Petersburg, FL 33715-2405
- **Phone:** (727) 410-6399
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Health First Medical Group, LLC (NPI 1750626495, Melbourne, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 1981
## Record status
- **NPPES last updated:** April 10, 2026
- **Other identifiers:** Other LQ519 (FL); Medicaid 102026500 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1962467910) · Data from the CMS NPPES public registry.