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 Philadelphia Family Medicine Physician, 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 |
Frequently asked questions
What is Dr. Dany Boulos's medical specialty?
Dr. Dany Boulos practices Family Medicine Physician in Philadelphia, PA.
Where does Dr. Dany Boulos practice?
Dr. Dany Boulos practices at 11000 Roosevelt Blvd, Philadelphia, PA 191163961. Office phone: 2156771475.
What is Dr. Dany Boulos's NPI?
Dr. Dany Boulos's National Provider Identifier (NPI) is 1780830703, issued by NPPES.
Does Dr. Dany Boulos accept Medicare assignment?
Yes. Dr. Dany Boulos accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dany Boulos commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.