Eman Boulis, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

20150 Issued in MS

Practice address

210 4TH Ave
Grinnell, IA 50112-1898

Phone

(641) 236-7511

Fax

(641) 236-2058

NPI assigned

Dec 31, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Rheumatology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of WardGroup PAC ID 1456261494, shared by 6 NPIs, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ward Memorial Hospital Hospital, Monahans, TX, CCN 451373
• Reeves Regional Health Hospital, Pecos, TX, CCN 451377

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emanboulis@grmc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Ward

  dba Ward Memorial Hospital

  • Critical Access Hospital
  • Monahans, TX
  • NPI 1720096019
  Medicare reassignment NPD
• County of Ward

  dba Ward Memorial Hospital ER Group

  • Emergency Medicine Physician
  • Monahans, TX
  • NPI 1881782423
  Medicare reassignment NPD
• County of Ward

  dba Ward Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Monahans, TX
  • NPI 1104906718
  NPD
• County of Ward

  dba Ward Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Monahans, TX
  • NPI 1164430039
  NPD
• Incare LLC

  • Internal Medicine Physician
  • Berwick, PA
  • NPI 1457377178
  NPD (past)
• River Oaks Management Company LLC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1922029040

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of Ward

  dba Ward Memorial Hospital

  • Critical Access Hospital
  • Monahans, TX
  • NPI 1720096019
  Care Compare affiliation
• County of Ward

  dba Ward Memorial Hospital ER Group

  • Emergency Medicine Physician
  • Monahans, TX
  • NPI 1881782423

  Hospital

  Care Compare affiliation
• Reeves County Hospital District

  dba Reeves Regional Health

  • Critical Access Hospital
  • Pecos, TX
  • NPI 1831170273
  Care Compare affiliation

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265617047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-7511",
            "fax_number": "641-236-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-7511",
            "fax_number": "641-236-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULIS",
        "first_name": "EMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD433023",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MS",
            "license": "20150",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IA",
            "license": "MD-41825",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anneliese Barton
• Scott William Baumann, DDS, PC
• Wendi Lynn Beck, PA-C
• Katelyn Sue Beyer, PA
• Haley Bird, OTDR/L
• Jacob Daniel Boyer, PA-C
• Darius Kemar Bradford, DC
• Michelle Brennan, RDN, LD
• Jody Marie Brink, D.C.
• Brian James Brown, D.C.

• Rheumatology Physician in Grinnell, IA
• Providers in Grinnell, IA by specialty
• Rheumatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.