MICHAEL BOULOS (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1083618581

MICHAEL BOULOS (M.D.) is a healthcare provider. based in Indianapolis, Indiana. specializing in CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 01054000A (IN). The NPI Number for MICHAEL BOULOS (M.D.) is 1083618581

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL BOULOS (M.D.)
NPI
1083618581
Phone
Not provided
Address
6626 E 75TH ST
Enumeration Date
13 June 2005
Last Update Date
17 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3173385100
Graduation Year
1993 (33 years ago)
PAC ID
6305982208
Group Practice PAC ID
7012047640
Professional Enrollment ID
I20091007000165
Address ID
IN462601983IN8333XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

432 CRITICAL CARE (INTENSIVISTS) in IN

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Provider Addresses for MICHAEL BOULOS (M.D.)

  • Hocker & Associates, 6626, East 75th Street, Indianapolis, Indiana, 46250, United States

    SUITE 500

    INDIANAPOLIS, IN 462502805

    Phone:

    Type: Mailing

  • Clearvista Drive, Indianapolis, Indiana, 46256, United States

    STE 120

    INDIANAPOLIS, IN 462564640

    Phone: (317) 621-5676

    Fax: (317) 621-5678

    Type: Location

  • 7250 Clearvista Dr

    Ste 120

    Indianapolis, IN 462564640

    Phone: (317) 621-5676

    Fax: (317) 621-5678

    Type: Location

  • 8333 NAAB RD STE 250

    INDIANAPOLIS, IN 462601983

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-02-19 • Largest payer in this snapshot: ABIOMED ($113).

Total Amount

$113

General + Research + Ownership

Payments

1

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$113
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: 2023-08-24

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
I20091007000165ICritical Care (Intensivists)INTBD
I20230824003711IInternal MedicineFLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes17763$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes13565$0
99291Critical care, first 30-74 minutes7134$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3838$0
99238Hospital discharge day management, 30 minutes or less2828$0
View full utilization report →

Insurance plans in this area (ZIP 46250)

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Provider's Procedures

MICHAEL BOULOS (M.D.) performs procedures in CRITICAL CARE (INTENSIVISTS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CRITICAL CARE (INTENSIVISTS)IN36556Insertion of central venous catheter for infusion, patient 5 years or older2929

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: 7012047640View full group profile
NameSpecialtyState
Nurse PractitionerIN
-IN
Pulmonary Disease, Critical Care (Intensivists)IN
General Surgery, Thoracic SurgeryIN
-IN
-NY
Interventional RadiologyIN
-IN
G A S T R O E N T E R O L O G YTX
Nurse PractitionerIN

Reviews

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Frequently asked questions

Where can patients find MICHAEL BOULOS (M.D.)'s NPI?
You can confirm MICHAEL BOULOS (M.D.) with NPI 1083618581; it appears in the national provider directory.
Is MICHAEL BOULOS (M.D.)'s NPI currently valid?
The extract we use shows MICHAEL BOULOS (M.D.) as active.
Can you summarize MICHAEL BOULOS (M.D.)'s specialty in plain language?
Clinically, the directory lists MICHAEL BOULOS (M.D.) with Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL BOULOS (M.D.)?
The page summarizes Indianapolis, Indiana for MICHAEL BOULOS (M.D.); expand the address list for detail.
Is MICHAEL BOULOS (M.D.) a real provider?
This page reflects official NPPES data for NPI 1083618581. Always confirm identity and privileges with the practice and licensing boards.

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