Dr Konstantinos D Boudoulas, MD - Medicare Interventional Cardiology in Columbus, OH

Dr Konstantinos D Boudoulas, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Columbus, Ohio. He went to Ohio State University College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Osu Internal Medicine Llc and his current practice location is 410 W 10th Ave Fl 1, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 293-7677.

Dr Konstantinos D Boudoulas is licensed to practice in Ohio (license number 35094280) 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 1003976507.

Contact Information

Dr Konstantinos D Boudoulas, MD
410 W 10th Ave Fl 1,
Columbus, OH 43210-1240
(614) 293-7677
(614) 293-1456

Map and Direction




Physician's Profile

Full NameDr Konstantinos D Boudoulas
GenderMale
SpecialityInterventional Cardiology
Experience23 Years
Location410 W 10th Ave Fl 1, Columbus, Ohio
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 Konstantinos D Boudoulas attended and graduated from Ohio State University College Of Medicine in 2001
  NPI Data:
  • NPI Number: 1003976507
  • Provider Enumeration Date: 12/12/2006
  • Last Update Date: 05/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799823100
  • Enrollment ID: I20091104000740

Medical Identifiers

Medical identifiers for Dr Konstantinos D Boudoulas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003976507NPI-NPPES
2997119MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 35.094280 (Ohio)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 35094280 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohio State University State Health SystemColumbus, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osu Internal Medicine Llc5496651408984

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 Konstantinos D Boudoulas allows following entities to bill medicare on his behalf.
Entity NameOsu Internal Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740231448
PECOS PAC ID: 5496651408
Enrollment ID: O20031210000658

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 Konstantinos D Boudoulas 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 Konstantinos D Boudoulas, MD
700 Ackerman Rd Ste 2120,
Columbus, OH 43202-1559

Ph: (614) 293-7677
Dr Konstantinos D Boudoulas, MD
410 W 10th Ave Fl 1,
Columbus, OH 43210-1240

Ph: (614) 293-7677

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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