Andrew Boulos, DO in Pueblo, CO - Medicare Pulmonary Disease

Andrew Boulos, DO is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Pueblo, Colorado. He went to Western University Of Health Sciences College Of Dental Med and graduated in 2013 and has 13 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Parkview Ancillary Services Corporation, Colorado Springs Pulmonary Consultants Pc and his current practice location is 1600 N Grand Ave Ste 140, Pueblo, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 564-1542.

Andrew Boulos is licensed to practice in Colorado (license number DR.0058436) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689010100.

Contact Information

	Andrew Boulos, DO
	1600 N Grand Ave Ste 140, Pueblo, CO 81003-2755
	(719) 564-1542
	(719) 566-0916

Map and Direction

Physician's Profile

Full Name	Andrew Boulos
Gender	Male
Speciality	Pulmonary Disease
Experience	13 Years
Location	1600 N Grand Ave Ste 140, Pueblo, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Andrew Boulos attended and graduated from Western University Of Health Sciences College Of Dental Med in 2013

NPI Data:

NPI Number: 1689010100
Provider Enumeration Date: 05/13/2013
Last Update Date: 12/23/2025

Medicare PECOS Information:

PECOS PAC ID: 0446548275
Enrollment ID: I20200724000701

Medical Identifiers

Medical identifiers for Andrew Boulos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689010100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	DR.0058436 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Centura Health-penrose St Francis Health Services	Colorado springs, CO	Hospital
Parkview Medical Center, Inc	Pueblo, CO	Hospital
St Mary Corwin Med Ctr, Centura Health	Pueblo, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Parkview Ancillary Services Corporation	4385722511	273
Colorado Springs Pulmonary Consultants Pc	6305838434	21

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andrew Boulos allows following entities to bill medicare on his behalf.

Entity Name	Colorado Springs Pulmonary Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528269099 PECOS PAC ID: 6305838434 Enrollment ID: O20040331000239

Entity Name	Parkview Ancillary Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248

Entity Name	Poudre Valley Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrew Boulos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Andrew Boulos, DO 2222 N Nevada Ave Ste 4004, Colorado Springs, CO 80907-6832 Ph: (719) 471-7064	Andrew Boulos, DO 1600 N Grand Ave Ste 140, Pueblo, CO 81003-2755 Ph: (719) 564-1542

Reviews and Comments

Internal Medicine Doctors in Pueblo, CO

Dr. Christopher John Calcagno, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1600 N. Grand Ave., Ste. 300, Pueblo, CO 81003 Phone: 719-562-2001 Fax: 719-562-2742
Christopher Jon Stark, Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-595-2218 Fax: 719-595-7994
Greg Alan Bowman, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1600 N Grand Ave, Suite 500, Pueblo, CO 81003 Phone: 719-545-0663 Fax: 719-595-7903
Dr. Darya Blednova, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 970-624-2403 Fax: 970-490-4173
Peter Lochow, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1593
Dr. Raj Vashistha, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3670 Parker Blvd., Ste 101, Pueblo, CO 81008 Phone: 719-564-1544 Fax: 719-924-1592
Dr. Bryant Pinto Javier, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 400 W 16th St, Pueblo, CO 81003 Phone: 719-544-1488 Fax: 719-595-7994

Andrew Boulos, DO - Medicare Pulmonary Disease in Pueblo, CO