Active NPI
Boulos Toursarkissian, MD
- Vascular Surgery Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- K4591
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770001947 | Other | TX | MEDICARE RAIL ROAD |
| 8FA758 | Other | TX | BCBSTX - PVA |
| 81549J | Other | TX | MEDICARE PIN FOR GROUP 00T148 |
| 117146403 | Medicaid | TX | |
| P01465883 | Other | TX | MEDICARE RR - PVA |
| 117146408 | Medicaid | TX | |
| 80010S | Other | TX | BLUE CROSS BLUE SHIELD |
| 117146402 | Other | TX | CIDC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Kentucky College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Val Verde Regional Medical Center
- Methodist Hospital
- Uvalde Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | 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
- boulos.toursarkissian.p15@direct.aac.nextgenshare.com
- boulos.toursarkissian.p74@direct.aac.nextgenshare.com
- boulos.toursarkissian.1@1438.direct.athenahealth.com
- https://fhir-usa.unify.chbase.com/org/dimmit-a3ff579f
- 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.
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Nephrology Physician
- San Antonio, TX
- NPI 1851368112
-
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
-
- Vascular Surgery Physician
- San Antonio, TX
- NPI 1154545986
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
-
- Critical Access Hospital
- Uvalde, TX
- NPI 1740288505
-
- General Acute Care Hospital
- Del Rio, TX
- NPI 1104830900
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1598744856
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.