Doctor profile · Federal record
Dr. DANY BOULOS, M.D.
Family Medicine Physician (CMS: FAMILY PRACTICE) · Emergency Medicine Physician · Family Medicine Physician · Family Medicine Physician · PHILADELPHIA, PA
- NPI 1780830703
- Accepts Medicare
- MIPS 89.7 / 100 · 2023
- 21 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
11000 ROOSEVELT BLVD, 360
PHILADELPHIA, PA 191163961
(215) 677-1475
fax (215) 677-3082 - Additional location
-
486 Randall Rd Unit B
South Elgin, IL 601773354
(224) 783-5000
fax (224) 782-5018 - Additional location
-
519 S Roselle Rd
Schaumburg, IL 601932925
(847) 985-0600
fax (847) 985-0600 - Mailing address
-
PO BOX 820933
PHILADELPHIA, PA 191820933
Credentials & registration
- NPI registered
- August 2008 — 18 yrs on file
- Profile last updated
- March 20, 2024
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (3)
- Illinois #036141752 · Pennsylvania #MD453720 · Indiana #01068800A
- Medicaid
- IN #201024290
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1780830703. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
197
Distinct HCPCS
3
Medicare allowed
$24,436
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 146 | 137 | $124 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $151 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 23 | 23 | $91 |
In context: peer comparison
Among 166 peers in this city , average services per provider: 84. This provider delivers 2.3× the peer median.Open Payments
Industry payments received
All-time total
$23
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 1 | $22.74 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
191
Patients
183
Total drug cost
$2,011
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 24 | 23 | $211 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 22 | 18 | $676 |
| Prednisone | Generic | 21 | 20 | $34 |
| Cephalexin | Generic | 19 | 18 | $149 |
| Doxycycline Hyclate | Generic | 19 | 19 | $323 |
| Sulfamethoxazole-Trimethoprim (Sulfamethoxazole/Trimethoprim) | Brand | 19 | 19 | $111 |
| Azithromycin | Generic | 16 | 16 | $98 |
| Methylprednisolone | Generic | 16 | 16 | $212 |
| Ciprofloxacin Hcl | Generic | 12 | 12 | $114 |
| Naproxen | Generic | 12 | 11 | $30 |