KONSTANTINA BOORAS (PA) – Physician Assistant, NPI 1245918754

KONSTANTINA BOORAS (PA) is a healthcare provider. based in Lowell, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for KONSTANTINA BOORAS (PA) is 1245918754

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KONSTANTINA BOORAS (PA)
NPI
1245918754
Phone
(978) 996-4294
Address
315 WESTFORD ST
Enumeration Date
6 July 2023
Last Update Date
6 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7814308161
Graduation Year
2023 (3 years ago)
PAC ID
7911439427
Group Practice PAC ID
8820248784
Professional Enrollment ID
I20251022001590
Address ID
MA017302725BE154XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for KONSTANTINA BOORAS (PA)

  • 315 WESTFORD ST

    LOWELL, MA 018512518

    Phone: (978) 996-4294

    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)

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: 2025-10-22

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
I20241022000847IPhysician AssistantRITBD
I20251022001590IPhysician AssistantMATBD

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 01851)

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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: 8820248784View full group profile
NameSpecialtyState
Physician AssistantMA
Physician AssistantMA
Nurse PractitionerMA
Nurse PractitionerMA
Physician AssistantMA
Family PracticeMA
Physician AssistantNH
Physician AssistantNH
Physician AssistantMA
Physician AssistantMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for KONSTANTINA BOORAS (PA)?
KONSTANTINA BOORAS (PA) — NPI 1245918754 — is the standard way to identify this listing.
Is KONSTANTINA BOORAS (PA) listed as active for patients and plans?
The listing shows KONSTANTINA BOORAS (PA) as active in the NPI system.
What is KONSTANTINA BOORAS (PA)'s specialty?
The listing groups KONSTANTINA BOORAS (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does KONSTANTINA BOORAS (PA) list a practice location?
Patients near Lowell, Massachusetts may find KONSTANTINA BOORAS (PA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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