FREDERICK THORNTON BOULWARE (M.D.) – Neurology Physician, NPI 1497733174
Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for FREDERICK THORNTON BOULWARE (M.D.)
2423, West Dunlap Avenue, Phoenix, Maricopa County, Arizona, 85051-3424, United States
STE 130
PHOENIX, AZ 850215818
Phone: (602) 424-4450
Fax: (602) 424-4451
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-09-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100910000553 | I | Neurology | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 13 | 13 | $0 |
Insurance plans in this area (ZIP 85021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Sleep Medicine, Family Practice | ID | |
| Internal Medicine, Sleep Medicine | AZ | |
| Nurse Practitioner | AZ | |
| N E U R O L O G Y | AZ | |
| N E U R O L O G Y | AZ | |
| N E U R O L O G Y | AZ | |
| Qualified Audiologist | AZ | |
| - | AZ | |
| N E U R O L O G Y | VA |
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