LATIFA BOUKARROU (MD) – Neurology Physician, NPI 1366769317

LATIFA BOUKARROU (MD) is a healthcare provider. based in Stuart, Florida. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. MD61603092 (WA). The NPI Number for LATIFA BOUKARROU (MD) is 1366769317

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
LATIFA BOUKARROU (MD)
NPI
1366769317
Phone
(772) 223-2832
Address
PO BOX 417
Enumeration Date
30 April 2010
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2095264500
Graduation Year
2000 (26 years ago)
PAC ID
7416185723
Group Practice PAC ID
3971871500
Professional Enrollment ID
I20190628001583
Address ID
CA953552803MO1700XRDXX300
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:16State licenses:5Other namesUpdated within 12 months

1,847 NEUROLOGY in FL

Provider Addresses for LATIFA BOUKARROU (MD)

  • PO BOX 417

    STUART, FL 349950417

    Phone: (772) 223-2832

    Fax: (772) 223-5646

    Type: Mailing

  • 1651 SE TIFFANY AVE

    SUITE 101

    PORT SAINT LUCIE, FL 349527564

    Phone: (772) 419-3810

    Fax: (772) 419-3811

    Type: Location

  • 130 2nd St

    Neenah, WI 549562883

    Phone: (920) 735-7645

    Fax: (920) 735-7618

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: LivaNova USA, Inc. ($74).

Total Amount

$128

General + Research + Ownership

Payments

6

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2024-12-24

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
I20190628001583INeurologyCATBD
I20241224000352INeurologyWITBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7151$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5856$0
99291Critical care, first 30-74 minutes3118$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 34995)

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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: 3971871500View full group profile
NameSpecialtyState
N E U R O L O G YTN
Neurology, Critical Care (Intensivists)NV
-CA
N E U R O L O G YCA
N E U R O L O G YNY
-CA
N E U R O L O G YCA
N E U R O L O G YCA
N E U R O L O G YCA
-CA

Reviews

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Frequently asked questions

How do I look up LATIFA BOUKARROU (MD) by NPI?
Use NPI 1366769317 when you need to reference LATIFA BOUKARROU (MD) in forms, claims, or directories.
Is LATIFA BOUKARROU (MD) currently active in the NPI registry?
CMS-published data lists LATIFA BOUKARROU (MD) as an active registrant.
Does LATIFA BOUKARROU (MD) list a primary specialty?
If you are matching referrals, note Neurology Physician for LATIFA BOUKARROU (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for LATIFA BOUKARROU (MD)?
The page summarizes Stuart, Florida for LATIFA BOUKARROU (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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