Individual provider Active NPI

Boulos Toursarkissian, MD

  • Vascular Surgery Physician
  • San Antonio, TX
National Provider Identifier
1073529665
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
K4591 Issued in TX
Practice address
9153 Huebner Rd.
San Antonio, TX 78240-1502
Phone
(210) 614-7414
Fax
(210) 616-0509
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X K4591 TX
Vascular Surgery Physician 2086S0129X K4591 TX Primary

Addresses

Primary practice location

9153 Huebner Rd.
San Antonio, TX 78240-1502

Mailing address

610 North Main, Second Floor
San Antonio, TX 78205-1204
Phone (210) 828-2503

Other identifiers 8

IdentifierTypeStateIssuer
770001947OtherTXMEDICARE RAIL ROAD
8FA758OtherTXBCBSTX - PVA
81549JOtherTXMEDICARE PIN FOR GROUP 00T148
117146403MedicaidTX
P01465883OtherTXMEDICARE RR - PVA
117146408MedicaidTX
80010SOtherTXBLUE CROSS BLUE SHIELD
117146402OtherTXCIDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20040616001417 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 6305820317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Kentucky College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians
Renal Associates, P.a.Group PAC ID 8729070628, 40 clinicians

Practice addresses (Care Compare)

1038 Garner Field Rd
Uvalde, TX 78801-4810
Phone (210) 614-7414

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7600

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone (210) 638-2000

2824 N Veterans Blvd
Eagle Pass, TX 78852-6695
Phone (210) 962-5709

301 N Frio St
Suite 101
San Antonio, TX 78207-3034
Phone (210) 487-7827

3903 Wiseman Blvd
San Antonio, TX 78251-4402
Phone (210) 946-1400

520 Madison Oak Dr
San Antonio, TX 78258-3913
Phone (210) 297-4000

612 N Bedell Ave
Del Rio, TX 78840-4173
Phone (210) 614-7414

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-6108

7930 Floyd Curl Dr
San Antonio, TX 78229-3925
Phone (214) 297-5000

801 N Bedell Ave
Del Rio, TX 78840-4112
Phone (830) 775-8566

8026 Floyd Curl Dr
San Antonio, TX 78229-3915
Phone (210) 575-8110

8811 Village Dr
San Antonio, TX 78217-5415

9153 Huebner Rd
San Antonio, TX 78240-1502
Phone (210) 614-7414

PO Box
Suite 5730
Belfast, ME 04915-5700

Hospital & facility affiliations

  • Baptist Medical Center Hospital, San Antonio, TX, CCN 450058
  • Val Verde Regional Medical Center Hospital, Del Rio, TX, CCN 450154
  • Methodist Hospital Hospital, San Antonio, TX, CCN 450388
  • Uvalde Memorial Hospital Hospital, Uvalde, TX, CCN 451387

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Dec 1, 2023 Accepting new patients
BHS Physicians Network, Inc CurrentSince Dec 1, 2023 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients
Varicose Vein Clinic - Northwest, P.a. Vascular Surgery Past Accepting new patients
Wellmed Medical Group, PA Past Accepting new patients

Locations

612 N Bedell Ave
Ste C
Del Rio, TX 78840
Phone (210) 703-8925

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

8811 Village Dr
San Antonio, TX 78217
Phone (210) 297-2000

Interoperability endpoints

  • Direct secure messaging: boulos.toursarkissian.p15@direct.aac.nextgenshare.com
  • Direct secure messaging: boulos.toursarkissian.p74@direct.aac.nextgenshare.com
  • Direct secure messaging: boulos.toursarkissian.1@1438.direct.athenahealth.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/dimmit-a3ff579f
  • Direct secure messaging: boulostoursarkissian@pvapa.allscriptsdirect.net

Organizations & group practices 6

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 6

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1073529665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NORTH MAIN, SECOND FLOOR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782051204",
            "telephone_number": "210-828-2503",
            "fax_number": "210-828-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9153 HUEBNER RD.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401502",
            "telephone_number": "210-614-7414",
            "fax_number": "210-616-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOURSARKISSIAN",
        "first_name": "BOULOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K4591",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "K4591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "770001947",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX  - PVA",
            "identifier": "8FA758",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN FOR GROUP 00T148",
            "identifier": "81549J",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117146403",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR - PVA",
            "identifier": "P01465883",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117146408",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80010S",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIDC",
            "identifier": "117146402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.