JOHN B BOULDIN (MD) – Emergency Medicine Physician, NPI 1225490899

JOHN B BOULDIN (MD) is a healthcare provider. based in Hot springs, Arkansas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. E-11849 (AR). The NPI Number for JOHN B BOULDIN (MD) is 1225490899

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
JOHN B BOULDIN (MD)
NPI
1225490899
Phone
(501) 622-1043
Address
300 Werner St
Enumeration Date
23 March 2016
Last Update Date
30 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
5015527100
Graduation Year
2016 (10 years ago)
PAC ID
1355633751
Group Practice PAC ID
6901228154
Professional Enrollment ID
I20190530000428
Address ID
AR721205089SH2215XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

557 EMERGENCY MEDICINE in AR

Provider Addresses for JOHN B BOULDIN (MD)

  • 300 Werner St

    Hot Springs, AR 719136406

    Phone: (501) 622-1043

    Fax: (501) 622-2033

    Type: Location

  • 11001 EXECUTIVE CENTER DR STE 200

    LITTLE ROCK, AR 722114393

    Phone: (501) 812-7215

    Fax: (501) 812-7207

    Type: Mailing

  • 9601 BAPTIST HEALTH DR

    LITTLE ROCK, AR 722056321

    Phone: (501) 202-2300

    Fax: (501) 202-1449

    Type: Location

  • PO BOX 21850

    HOT SPRINGS, AR 719031850

    Phone: (501) 622-1043

    Type: Mailing

  • CHI St. Vincent Hot Springs, 300, Werner Street, Hot Springs, Garland County, Arkansas, 71913, United States

    HOT SPRINGS, AR 719136406

    Phone: (501) 622-1043

    Fax: (501) 622-2033

    Type: Location

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: 2019-05-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190530000428IEmergency MedicineARTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making332319$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only267258$0
99284Emergency department visit with moderate level of medical decision making124122$0
99291Critical care, first 30-74 minutes106105$0
View full utilization report →

Insurance plans in this area (ZIP 71913)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901228154View full group profile
NameSpecialtyState
Emergency MedicineAR
Emergency MedicineAR
Family PracticeMO
Family PracticeOH
Emergency MedicineNM
Emergency MedicineKY
Emergency MedicineKY
Emergency MedicineAR
Emergency Medicine, Family PracticeAR
Emergency MedicineAR

Reviews

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Frequently asked questions

Can I cross-check JOHN B BOULDIN (MD) using NPI 1225490899?
NPI 1225490899 belongs to JOHN B BOULDIN (MD); compare other details if you need extra assurance.
Active or inactive — what applies to JOHN B BOULDIN (MD)?
You should see JOHN B BOULDIN (MD) as active in CMS-hosted NPPES data.
How would a patient describe JOHN B BOULDIN (MD)'s focus?
For JOHN B BOULDIN (MD), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JOHN B BOULDIN (MD)?
Directory geography for JOHN B BOULDIN (MD) centers on Hot Springs, Arkansas.
Can I trust this NPI listing for JOHN B BOULDIN (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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