DR. FADY BOUTROS (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1699125880
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,149 PHYSICAL MEDICINE AND REHABILITATION in CA
Provider Addresses for DR. FADY BOUTROS (M.D.)
500 W Hospital Rd
French Camp, CA 952319693
Phone: (209) 468-6937
Fax: (209) 468-7042
Type: Location
12019, Huntley Drive, Rancho Cucamonga, San Bernardino County, California, 91739, United States
RANCHO CUCAMONGA, CA 917392543
Phone: (909) 331-1602
Type: Mailing
101 THE CITY DR S BLDG 53
ORANGE, CA 928683201
Phone: (909) 331-1602
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: 2024-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200623000783 | I | Physical Medicine And Rehabilitation | AZ | TBD |
| I20241217002524 | I | Physical Medicine And Rehabilitation | CA | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 3,648 | 504 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 751 | 422 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 242 | 229 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 242 | 226 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 99 | 42 | $0 |
Insurance plans in this area (ZIP 95231)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA |
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