Active NPI
Alexia Boumis
- Adult Health Nurse Practitioner
- Forest Hills, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F311504-01
- Practice address
- 11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211 - Phone
- (646) 722-7610
- NPI assigned
- Feb 23, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F311504-01 | NY | Primary |
Addresses
Primary practice location
11835 Queens Blvd Ste 400
Forest Hills, NY 11375-7211
Mailing address
PO Box 639295
Cincinnati, OH 45263-9295
Phone (248) 266-4200
Other practice location 1
118-35 Queens Blvd
Forest Hills, NY 11375
Phone (646) 722-7610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone (757) 507-4123
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F311504-01 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Current | Accepting new patients | |
| Harmony Medical Services of New York, PLLC | Current | Accepting new patients |
Locations
11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610
1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000
2025 Glenn Mitchell Dr
Fl 4
Virginia Beach, VA 23456
Phone (757) 507-4103
Interoperability endpoints
- aboumis1073552@direct.sentara.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
dba Harmonycares Medical Group
- Family Medicine Physician
- Whitestone, NY
- NPI 1669178448
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Virginia Beach General Hospital
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1629038336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711152000000",
"number": "1053177394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639295",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639295",
"telephone_number": "248-266-4200",
"fax_number": "855-618-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11835 QUEENS BLVD STE 400",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757211",
"telephone_number": "646-722-7610"
}
],
"practiceLocations": [
{
"address_1": "118-35 Queens Blvd",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "11375",
"country_code": "US",
"telephone_number": "646-722-7610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOUMIS",
"first_name": "ALEXIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-23",
"last_updated": "2024-03-23",
"certification_date": "2024-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F311504-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.