AMIRA BOULOS FANOUS-PAUL (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1326007865
Anatomic Pathology & Clinical Pathology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,394 PATHOLOGY in TX
Provider Addresses for AMIRA BOULOS FANOUS-PAUL (MD)
4215 Joe Ramsey Blvd
Greenville, TX 75401
Phone: (903) 455-4051
Fax: (903) 454-1716
Type: Location
WellStar North Fulton Hospital, 3000, Hospital Boulevard, Roswell, Fulton, Georgia, 30076, United States
ROSWELL, GA 300764915
Phone: (770) 751-2500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $75.
Total Amount is formed as General ($75) + Research ($0) + Ownership ($0) = $75.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Genentech USA, Inc. ($53).
Total Amount
$75
General + Research + Ownership
Payments
4
Total payment records
General Amount
$75
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Genentech USA, Inc. | $53 |
| Exelixis Inc. | $22 |
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: 2017-03-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170307002121 | I | Pathology | GA | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 537 | 263 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 297 | 59 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 150 | 123 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 92 | 59 | $0 |
| 88360 | Microscopic genetic analysis of tumor, manual | 62 | 15 | $0 |
Insurance plans in this area (ZIP 75401)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | TX | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 92 | 80 |
| PATHOLOGY | TX | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 54 | 45 |
| PATHOLOGY | TX | 88342 | Tissue or cell analysis by immunologic technique | 168 | 163 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
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