ALEXANDER GEORGE BOUTSELIS (MD) – Diagnostic Radiology Physician, NPI 1831167147
Diagnostic Radiology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
847 DIAGNOSTIC RADIOLOGY in IN
Provider Addresses for ALEXANDER GEORGE BOUTSELIS (MD)
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 462025149
Phone: (317) 944-4600
Type: Location
550 University Blvd
Indianapolis, IN 462025149
Phone: (317) 944-4600
Type: Location
13400 E SHEA BLVD
SCOTTSDALE, AZ 852595499
Phone: (480) 301-8000
Type: Mailing
Lafayette Post Office, 99, Chauncy Street, Downtown Crossing, Downtown Boston, Boston, Suffolk County, Massachusetts, 02111, United States
LAFAYETTE, IN 479034699
Phone: (765) 447-7447
Fax: (765) 807-0553
Type: Mailing
913, Pleasant Ridge Court, Lafayette, Tippecanoe County, Indiana, 47904, United States
LAFAYETTE, IN 479042784
Phone: (765) 426-3164
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2023-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20040713001521 | I | Diagnostic Radiology | IN | TBD |
| I20111101000580 | I | Diagnostic Radiology | FL | TBD |
| I20120816000902 | I | Diagnostic Radiology | CA | TBD |
| I20230131001929 | I | Diagnostic Radiology | AZ | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 426 | 407 | $0 |
| 70450 | Ct scan head or brain without contrast | 231 | 227 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 138 | 137 | $0 |
| 71046 | X-ray of chest, 2 views | 100 | 98 | $0 |
| 74018 | X-ray of abdomen, 1 view | 87 | 81 | $0 |
Insurance plans in this area (ZIP 46219)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IN | 71010 | X-ray of chest, 1 view, front | 900 | 643 |
| DIAGNOSTIC RADIOLOGY | IN | 71250 | CT scan chest | 31 | 26 |
| DIAGNOSTIC RADIOLOGY | IN | 73630 | X-ray of foot, minimum of 3 views | 18 | 16 |
| DIAGNOSTIC RADIOLOGY | IN | 74177 | CT scan of abdomen and pelvis with contrast | 76 | 57 |
| DIAGNOSTIC RADIOLOGY | IN | 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 256 | 223 |
| DIAGNOSTIC RADIOLOGY | IN | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 26 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists) | PA | |
| - | AZ | |
| Certified Registered Nurse Anesthetist (Crna) | AZ | |
| - | AZ | |
| - | CO | |
| - | AZ | |
| Physician Assistant | AZ | |
| - | FL | |
| Nephrology, Internal Medicine | AZ | |
| - | AZ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.