Dr Dany Boulos, MD - Medicare Family Practice in Philadelphia, PA

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Dr Dany Boulos, MD is a medicare enrolled "Family Medicine" physician in Philadelphia, Pennsylvania. He graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Endeavor Health Medical Group, Advocate Health And Hospitals Corporation and his current practice location is 11000 Roosevelt Blvd, 360, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 677-1475.

Dr Dany Boulos is licensed to practice in Illinois (license number 036141752) 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 1780830703.

Contact Information

Dr Dany Boulos, MD
11000 Roosevelt Blvd, 360,
Philadelphia, PA 19116-3961
(215) 677-1475
(215) 677-3082

Map and Direction




Physician's Profile

Full NameDr Dany Boulos
GenderMale
SpecialityFamily Practice
Experience21 Years
Location11000 Roosevelt Blvd, Philadelphia, Pennsylvania
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:
  • Dr Dany Boulos graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1780830703
  • Provider Enumeration Date: 08/11/2008
  • Last Update Date: 03/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0446428767
  • Enrollment ID: I20170807002615

Medical Identifiers

Medical identifiers for Dr Dany Boulos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780830703NPI-NPPES
000000718849OtherINANTHEM
201024290MedicaidIN
036141752OtherILSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036141752 (Illinois)Secondary
207Q00000XFamily Medicine MD453720 (Pennsylvania)Secondary
207Q00000XFamily Medicine 01068800A (Indiana)Secondary
207Q00000XFamily Medicine 036141752 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwest Community Hospital 1Arlington heights, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Endeavor Health Medical Group21633346993022
Advocate Health And Hospitals Corporation78108009352682

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. Dr Dany Boulos allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameEndeavor Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118
Entity NameNorthwest Community Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134433154
PECOS PAC ID: 3375737331
Enrollment ID: O20101103000837
Entity NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587
Entity NameJovive Health - Illinois Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568132488
PECOS PAC ID: 5698169365
Enrollment ID: O20220222001912
Entity NameAdvocate Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003542184
PECOS PAC ID: 7810800935
Enrollment ID: O20220930002728

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. Dr Dany 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
Dr Dany Boulos, MD
Po Box 820933,
Philadelphia, PA 19182-0933

Ph: (215) 926-9010		Dr Dany Boulos, MD
11000 Roosevelt Blvd, 360,
Philadelphia, PA 19116-3961

Ph: (215) 677-1475

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.