DR. ANNE MARIE BOUSTANI (M.D.) – Nuclear Radiology Physician, NPI 1912239625

DR. ANNE MARIE BOUSTANI (M.D.) is a healthcare provider. based in New haven, Connecticut. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 53909 (CT). The NPI Number for DR. ANNE MARIE BOUSTANI (M.D.) is 1912239625

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANNE MARIE BOUSTANI (M.D.)
NPI
1912239625
Phone
(203) 200-5180
Address
20 YORK ST
Enumeration Date
4 February 2010
Last Update Date
10 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037854638
Graduation Year
2009 (17 years ago)
PAC ID
3476866500
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20150720000838
Address ID
CT065103220NE20XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:16State licenses:1Digital endpointsOther names

805 DIAGNOSTIC RADIOLOGY in CT

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Provider Addresses for DR. ANNE MARIE BOUSTANI (M.D.)

  • Yale New Haven Hospital, 20, York Street, Downtown, New Haven, New Haven County, Connecticut, 06510, United States

    NEW HAVEN, CT 065103220

    Phone: (203) 200-5180

    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: 2015-07-20

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
I20150720000838IDiagnostic RadiologyCTTBD

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
78815Nuclear medicine study from skull base to mid-thigh with ct scan378345$0
78306Nuclear medicine study of bone and/or joint whole body8573$0
78816Nuclear medicine study whole body with ct scan4944$0
78195Nuclear medicine study of lymphatic system2121$0
78582Nuclear medicine study of lung ventilation and circulation2121$0
View full utilization report →

Insurance plans in this area (ZIP 06510)

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Provider's Procedures

DR. ANNE MARIE BOUSTANI (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCT78815Nuclear medicine study with CT imaging skull base to mid-thigh305284

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: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
Internal Medicine, NephrologySC
-CT
-NC
Internal MedicineCT
-CT
Cardiac SurgeryCT
-CT
-CT

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Frequently asked questions

What number should I use to identify DR. ANNE MARIE BOUSTANI (M.D.) for billing?
Administrative and clinical systems typically use NPI 1912239625 for DR. ANNE MARIE BOUSTANI (M.D.).
Does the public listing show DR. ANNE MARIE BOUSTANI (M.D.) as active?
DR. ANNE MARIE BOUSTANI (M.D.)'s NPI record reflects an active status in NPPES.
What type of care does DR. ANNE MARIE BOUSTANI (M.D.) provide?
DR. ANNE MARIE BOUSTANI (M.D.)'s profile centers on Nuclear Radiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. ANNE MARIE BOUSTANI (M.D.) tied to New Haven, Connecticut?
If you are local to New Haven, Connecticut, DR. ANNE MARIE BOUSTANI (M.D.) may be relevant to your search.
Can I export DR. ANNE MARIE BOUSTANI (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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