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

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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 Lutheran Hospital Association Of The San Luis Valley, Poudre Valley Medical Group Llc, Salida Hospital District 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 NameAndrew Boulos
GenderMale
SpecialityPulmonary Disease
Experience13 Years
Location1600 N Grand Ave Ste 140, Pueblo, Colorado
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1689010100NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease DR.0058436 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Penrose HospitalColorado springs, COHospital
University Colo Health Memorial Hospital CentralColorado springs, COHospital
San Luis Valley HealthAlamosa, COHospital
Heart Of The Rockies Regional Medical CenterSalida, COHospital
St Mary-corwin HospitalPueblo, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lutheran Hospital Association Of The San Luis Valley4789589094146
Poudre Valley Medical Group Llc96382085492425
Salida Hospital District3577451152100

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 NameLutheran Hospital Association of the San Luis Valley
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235181744
PECOS PAC ID: 4789589094
Enrollment ID: O20031201000318
Entity NameColorado Springs Pulmonary Consultants PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528269099
PECOS PAC ID: 6305838434
Enrollment ID: O20040331000239
Entity NameSalida Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972778272
PECOS PAC ID: 3577451152
Enrollment ID: O20040413000292
Entity NameSalida Hospital District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1730258971
PECOS PAC ID: 3577451152
Enrollment ID: O20081209000720
Entity NamePoudre Valley Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225356868
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122
Entity NameLutheran Hospital Association of the San Luis Valley
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1194792762
PECOS PAC ID: 4789589094
Enrollment ID: O20130808000376

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 AddressPractice 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


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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