PAUL T BOULOS (MD) – Neurological Surgery Physician, NPI 1083620942

PAUL T BOULOS (MD) is a healthcare provider. based in Newark, Delaware. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. C1-0009299 (DE). The NPI Number for PAUL T BOULOS (MD) is 1083620942

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
PAUL T BOULOS (MD)
NPI
1083620942
Phone
(302) 366-7671
Address
774 CHRISTIANA RD
Enumeration Date
31 July 2006
Last Update Date
20 March 2017

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
4106203348
Graduation Year
2000 (26 years ago)
PAC ID
4385648880
Group Practice PAC ID
1557300431
Professional Enrollment ID
I20120507000435
Address ID
MD219216595EL360XXHWYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

18 NEUROSURGERY in DE

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Provider Addresses for PAUL T BOULOS (MD)

  • Holiday Inn Express & Suites Wilmington-Newark, 1201, Christiana Road, Concord Towers, Newark, New Castle County, Delaware, 19713, United States

    STE 202

    NEWARK, DE 197134221

    Phone: (302) 366-7671

    Fax: (302) 366-7549

    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)

CMS reports 4 Open Payments records for all available years, with a total value of $75.

Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: ABBVIE INC. ($43).

Total Amount

$75

General + Research + Ownership

Payments

4

Total payment records

General Amount

$75

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2012-05-07

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100629000033INeurosurgeryDETBD
I20120507000435INeurosurgeryMDTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes553342$0
99205New patient office or other outpatient visit, 60-74 minutes201201$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes143140$0
22614Fusion of additional segment of spine10444$0
99215Established patient office or other outpatient visit, 40-54 minutes9386$0
View full utilization report →

Insurance plans in this area (ZIP 19713)

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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: 1557300431View full group profile
NameSpecialtyState
N E U R O S U R G E R YDE
Physician AssistantDE
N E U R O S U R G E R YPA
N E U R O S U R G E R YDE
N E U R O S U R G E R YDE
N E U R O S U R G E R YDE
Nurse PractitionerDE
Physician AssistantDE
Physician AssistantDE
Physician AssistantDE

Reviews

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Frequently asked questions

What NPI should I save for PAUL T BOULOS (MD)?
Save NPI 1083620942 if you need a stable reference for PAUL T BOULOS (MD).
Does this profile mean PAUL T BOULOS (MD) is currently active?
Yes — PAUL T BOULOS (MD) appears active in the national provider directory.
Can you summarize PAUL T BOULOS (MD)'s specialty in plain language?
Clinically, the directory lists PAUL T BOULOS (MD) with Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for PAUL T BOULOS (MD)?
We surface Newark, Delaware for PAUL T BOULOS (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.