DR. MARWAN BOULIS (MD) – Otolaryngology Physician, NPI 1861981763

DR. MARWAN BOULIS (MD) is a healthcare provider. based in Waterford, Michigan. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 4301509067 (MI). The NPI Number for DR. MARWAN BOULIS (MD) is 1861981763

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARWAN BOULIS (MD)
NPI
1861981763
Phone
(248) 254-8900
Address
5220 HIGHLAND RD STE 230
Enumeration Date
7 May 2018
Last Update Date
18 July 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2482548900
Graduation Year
2018 (8 years ago)
PAC ID
4880945328
Group Practice PAC ID
2466827753
Professional Enrollment ID
I20230520000306
Address ID
MI483271973WA5220XRDXX304
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

428 OTOLARYNGOLOGY in MI

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Provider Addresses for DR. MARWAN BOULIS (MD)

  • 5220 HIGHLAND RD STE 230

    WATERFORD, MI 483271973

    Phone: (248) 254-8900

    Fax: (248) 599-7191

    Type: Mailing

  • Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States

    DETROIT, MI 482022608

    Phone: (313) 916-7086

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $1,558.

Total Amount is formed as General ($1,558) + Research ($0) + Ownership ($0) = $1,558.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($581).

Total Amount

$1,558

General + Research + Ownership

Payments

26

Total payment records

General Amount

$1,558

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

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: 2023-05-20

PECOS data refreshed: 2026-05-27

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
I20230520000306IOtolaryngologyMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4835$0
99203New patient office or other outpatient visit, 30-44 minutes3838$0
31575Diagnostic exam of voice box using a flexible endoscope2822$0
69210Removal of impacted ear wax2020$0
99204New patient office or other outpatient visit, 45-59 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 48327)

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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: 2466827753View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMI
O T O L A R Y N G O L O G YMI
Qualified AudiologistMI
Qualified AudiologistMI

Reviews

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Frequently asked questions

What number should I use to identify DR. MARWAN BOULIS (MD) for billing?
Administrative and clinical systems typically use NPI 1861981763 for DR. MARWAN BOULIS (MD).
Is DR. MARWAN BOULIS (MD) currently accepting referrals based on NPI status?
Registry metadata lists DR. MARWAN BOULIS (MD) as active.
Which specialty label fits DR. MARWAN BOULIS (MD)?
NPPES ties DR. MARWAN BOULIS (MD) to Otolaryngology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. MARWAN BOULIS (MD) tied to Waterford, Michigan?
If you are local to Waterford, Michigan, DR. MARWAN BOULIS (MD) may be relevant to your search.
Who maintains DR. MARWAN BOULIS (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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