Active NPI
Luis L Boulart
- Family Nurse Practitioner
- Miami, FL
National Provider Identifier
1225639180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11008799
- Practice address
- 8260 W Flagler St Ste 2I
Miami, FL 33144-2069 - Phone
- (786) 715-9183
- NPI assigned
- Nov 5, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11008799 | FL | Primary |
Addresses
Primary practice location
8260 W Flagler St Ste 2I
Miami, FL 33144-2069
Mailing address
9725 NW 117TH Ave Ste 200
Medley, FL 33178-1260
Phone (954) 514-9360
Other practice location 1
9725 NW 117th Ave Ste 200
Medley, FL 33178-1260
Phone (954) 514-9360 ext. 8515
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124707900 | Medicaid | FL | |
| APRN11008799 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8260 W Flager St
Suite 2I
Miami, FL 33144-2069
Phone (786) 715-9183
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Medical Services LLC | Current | Accepting new patients | |
| Nova Hospitalist Group LLC | Current | Accepting new patients |
Locations
8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272
8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1174270904
-
- Family Medicine Physician
- Miami, FL
- NPI 1952941346
-
- Family Nurse Practitioner
- Miami, FL
- NPI 1659008324
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba ALC Home Health, Inc
- Home Health Agency
- Doral, FL
- NPI 1780634097
-
- Home Health Agency
- Pembroke Pines, FL
- NPI 1326290347
-
- Home Health Agency
- Miramar, FL
- NPI 1982876108
-
dba Community Home Health Services
- Home Health Agency
- Fort Lauderdale, FL
- NPI 1598717605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1225639180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9725 NW 117TH AVE STE 200",
"city": "MEDLEY",
"state": "FL",
"postal_code": "331781260",
"telephone_number": "954-514-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8260 W FLAGLER ST STE 2I",
"city": "MIAMI",
"state": "FL",
"postal_code": "331442069",
"telephone_number": "786-715-9183"
}
],
"practiceLocations": [
{
"address_1": "9725 NW 117th Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Medley",
"state": "FL",
"postal_code": "331781260",
"country_code": "US",
"telephone_number": "954-514-9360 x8515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOULART",
"first_name": "LUIS",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-05",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11008799",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "124707900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "APRN11008799",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.