Dolly Albert Boughaba, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

01072116A Issued in IN

Practice address

405 Southwind LN
Ludlow, KY 41016-1715

Phone

(513) 470-2777

NPI assigned

Jun 6, 2006

Last updated

May 20, 2025By 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 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY, SD, WV3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dboughaba442254@direct-prd.stelizabeth.com
• Direct secure messaging: dolly.boughaba@avera.sdhealthlink.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.

• Appalachian Regional Healthcare, Inc.

  dba ARH Family Care Wheelwright

  • Primary Care Clinic/Center
  • Bypro, KY
  • NPI 1861671117
  Medicare reassignment NPD
• Arh Mary Breckinridge Health Services, Inc.

  dba ARH Cumberland Valley Medical and Surgical Associates - Corbin

  • Multi-Specialty Clinic/Center
  • Corbin, KY
  • NPI 1053983908
  Medicare reassignment NPD
• Arh Mary Breckinridge Health Services, Inc.

  dba ARH Our Lady of the Way

  • Critical Access Hospital
  • Martin, KY
  • NPI 1306339460
  Medicare reassignment NPD
• Arh Tug Valley Health Services, Inc.

  dba ARH Primary Care Paintsville

  • Multi-Specialty Clinic/Center
  • Paintsville, KY
  • NPI 1588328967
  Medicare reassignment NPD
• Appalachian Regional Healthcare, Inc

  dba ARH Southern West Virginia Clinic

  • Family Medicine Physician
  • Beckley, WV
  • NPI 1477510162
  Medicare reassignment NPD
• Avera McKennan

  dba Avera McKennan Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment NPD
• Monument Health Rapid City Hospital, Inc

  dba Monument Health Behavioral Health Center

  • Multi-Specialty Clinic/Center
  • Rapid City, SD
  • NPI 1275553463
  Medicare reassignment NPD
• Appalachian Regional Healthcare, Inc.

  • Clinical Pathology/Laboratory Medicine Physician
  • Whitesburg, KY
  • NPI 1417045998
  Medicare reassignment NPD (past)
• Appalachian Regional Healthcare, Inc

  dba ARH Tri-Cities Clinic Pharmacy

  • Community/Retail Pharmacy
  • Cumberland, KY
  • NPI 1710870811
  NPD
• Appalachian Regional Healthcare, Inc

  dba Hazard ARH Regional Medical Center

  • Anatomic Pathology & Clinical Pathology Physician
  • Hazard, KY
  • NPI 1780728881
  NPD
• Appalachian Regional Healthcare, Inc

  dba ARH Specialty Associates - Middlesboro

  • Multi-Specialty Clinic/Center
  • Middlesboro, KY
  • NPI 1801403092
  NPD
• Appalachian Regional Healthcare, Inc.

  dba Arh Hazard Family Health Services

  • Multi-Specialty Clinic/Center
  • Hazard, KY
  • NPI 1558431346
  NPD

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1376582221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SOUTHWIND LN",
            "city": "LUDLOW",
            "state": "KY",
            "postal_code": "410161715",
            "telephone_number": "513-470-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SOUTHWIND LN",
            "city": "LUDLOW",
            "state": "KY",
            "postal_code": "410161715",
            "telephone_number": "513-470-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Airport Gardens Rd",
            "address_purpose": "LOCATION",
            "city": "Hazard",
            "state": "KY",
            "postal_code": "417019529",
            "country_code": "US",
            "telephone_number": "606-477-8718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Ln Ste 225",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IN",
            "postal_code": "461221870",
            "country_code": "US",
            "telephone_number": "317-718-4730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUGHABA",
        "first_name": "DOLLY",
        "middle_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01072116A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200388530",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64053101",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000804952",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dboughaba442254@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "100 Hospital Ln Ste 225",
            "city": "Danville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461221870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Albanese, PHARMD
• Hiba G Angalo
• Lynn Sloane Brown, APRN
• City of Ludlow (City of Ludlow Fire Department)
• Emily Beth Cress, PHARMD
• Michael Edward Farrell, R.PH.
• Gerald Matthew Holloway, ATC

• Neurology Physician in Ludlow, KY
• Providers in Ludlow, KY by specialty
• Neurology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.