MAXIMILLIAN BOURDILLON – Cardiovascular Disease Physician, NPI 1215431838

MAXIMILLIAN BOURDILLON is a healthcare provider. based in Boston, Massachusetts. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERVENTIONAL CARDIOLOGY. They hold a License No. A200311 (CA). The NPI Number for MAXIMILLIAN BOURDILLON is 1215431838

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
MAXIMILLIAN BOURDILLON
NPI
1215431838
Phone
(617) 414-5951
Address
725 ALBANY STREET, SHAPIRO 5 & 6
Enumeration Date
19 March 2018
Last Update Date
9 July 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6506950955
Graduation Year
2018 (8 years ago)
PAC ID
9830447648
Group Practice PAC ID
5890125157
Professional Enrollment ID
I20251003003167
Address ID
CA940404117MO2490XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Digital endpointsOther names

1,399 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MA

Provider Addresses for MAXIMILLIAN BOURDILLON

  • 725 ALBANY STREET, SHAPIRO 5 & 6

    BOSTON, MA 021182526

    Phone: (617) 414-5951

    Fax: (617) 414-9251

    Type: Location

  • 725 ALBANY ST, SHAPIRO 5 & 6

    BOSTON, MA 021182526

    Phone: (617) 414-5951

    Fax: (617) 414-9251

    Type: Mailing

  • 15075 Los Gatos Blvd Ste 150

    Los Gatos, CA 950322050

    Phone: (650) 695-0955

    Type: Location

  • 6410 FANNIN ST STE 600

    HOUSTON, TX 770305206

    Phone: (832) 325-7100

    Fax: (713) 512-2242

    Type: Mailing

  • 1850 EL CAMINO REAL STE 200

    BURLINGAME, CA 940103102

    Phone: (650) 697-2431

    Fax: (650) 697-3659

    Type: Mailing

  • 2490 HOSPITAL DR STE 106

    MOUNTAIN VIEW, CA 940404117

    Phone: (650) 695-0955

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $5,132.

Total Amount is formed as General ($5,132) + Research ($0) + Ownership ($0) = $5,132.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Medtronic, Inc. ($2,251).

Total Amount

$5,132

General + Research + Ownership

Payments

30

Total payment records

General Amount

$5,132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2025-10-03

PECOS data refreshed: 2026-06-15

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
I20251003003167ICardiovascular Disease (Cardiology)CATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02118)

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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: 5890125157View full group profile
NameSpecialtyState
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)NJ
Internal Medicine, Cardiovascular Disease (Cardiology)CA
Physician AssistantCA
Cardiovascular Disease (Cardiology)CA
Cardiovascular Disease (Cardiology), Internal MedicineCA
Cardiac ElectrophysiologyCA
Interventional CardiologyCA

Reviews

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Frequently asked questions

What is the standard ID for MAXIMILLIAN BOURDILLON in the U.S.?
In the U.S., MAXIMILLIAN BOURDILLON is identified by NPI 1215431838.
Should I treat MAXIMILLIAN BOURDILLON as an active provider?
Patients and plans typically see MAXIMILLIAN BOURDILLON as active in the national extract.
What type of care does MAXIMILLIAN BOURDILLON provide?
MAXIMILLIAN BOURDILLON's profile centers on Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MAXIMILLIAN BOURDILLON?
The directory associates MAXIMILLIAN BOURDILLON with Boston, Massachusetts. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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