NPIMap

Individual provider Active NPI

Richard Boulay, MD

  • Gynecologic Oncology Physician
  • Easton, PA
National Provider Identifier
1013926922
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
MD048076L Issued in PA
Practice address
1600 St Lukes Blvd
Easton, PA 18045-5671
Phone
(484) 503-4500
Fax
(484) 503-4501
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X MD048076L PA Primary

Addresses

Primary practice location

1600 St Lukes Blvd
Easton, PA 18045-5671

Mailing address

1600 St Lukes Blvd
Easton, PA 18045-5671
Phone (484) 503-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627000116 PA Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 4082659446 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
University of Pittsburgh School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1600 St Lukes Blvd
Easton, PA 18045-5671
Phone (484) 503-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD048076LPAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Feb 17, 2020 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Family Care Centers Inc. CurrentSince Oct 1, 2017 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Sep 4, 2018 Accepting new patients
Star Community Health, Inc CurrentSince Feb 17, 2020 Accepting new patients
St Luke's Physician Group Inc CurrentSince Sep 4, 2018 Accepting new patients
Family Care Centers Inc CurrentSince Oct 1, 2017 Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients
Lehigh Valley Physician Group Past Accepting new patients

Locations

450 Chew St
#204
Allentown, PA 18102
Phone (610) 776-4758

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

1600 St Lukes Blvd
Easton, PA 18045
Phone (484) 503-4400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

208 Lifeline Rd
Ste 203
Stroudsburg, PA 18360
Phone (484) 503-4500

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579564800000",
    "number": "1013926922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ST LUKES BLVD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455671",
            "telephone_number": "484-503-4500",
            "fax_number": "484-503-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ST LUKES BLVD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455671",
            "telephone_number": "484-503-4500",
            "fax_number": "484-503-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULAY",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "PA",
            "license": "MD048076L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.