Oussama Boundaoui, M.D

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036-140758 Issued in IL

Practice address

1211 S Arlington Heights Rd
Arlington Heights, IL 60005-3142

Phone

(847) 264-2222

Fax

(847) 437-6841

NPI assigned

Apr 18, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Rush Medical College of Rush University, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Koziol-Thoms Eye Associates SCGroup PAC ID 4385539758, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JECEBA
• Direct secure messaging: oboundaoui@ktbea.intellechartdirect.net

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.

• Koziol-Thoms Eye Associates S.C.

  • Ophthalmology Physician
  • Arlington Heights, IL
  • NPI 1619901865
  Medicare reassignment Care Compare group NPD
• Koziol-Thoms Eye Associates S.C.

  • Ophthalmology Physician
  • Arlington Heights, IL
  • NPI 1659387017
  NPD
• Specialty Care Institute, PLLC

  • Specialist
  • Elgin, IL
  • NPI 1891095139
  NPD
• Retina Institute of Illinois PC

  • Ophthalmology Physician
  • Niles, IL
  • NPI 1417037623
  NPD (past)

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1053601583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053142",
            "telephone_number": "847-264-2222",
            "fax_number": "847-437-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S ARLINGTON HEIGHTS RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053142",
            "telephone_number": "847-264-2222",
            "fax_number": "847-437-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUNDAOUI",
        "first_name": "OUSSAMA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-140758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malgorzata Borowy, RN
• Ashley Nicole Bos, APN-CNP
• Gaetano Bottalico
• Peter Boucas, DO
• Valerie A Bouchard, PSYD
• Judy Bourn, LPC
• Leo Gerard Bourneuf, PSY.D.
• Lori R. Boutelle, LPC
• Vera Boutros, M.D.
• Neal Ross Bowen, PSY.D.

• Ophthalmology Physician in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.

Verify at the official NPI Registry.