NPIMap

Individual provider Active NPI

Alaa Boulad, M.D.

  • Interventional Cardiology Physician
  • Tampa, FL
National Provider Identifier
1659626653
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME144678 Issued in FL
Practice address
4450 E Fletcher Ave Ste C
Tampa, FL 33613-4907
Phone
(813) 975-2800
Fax
(813) 977-7924
NPI assigned
Jul 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME144678 FL
Interventional Cardiology Physician 207RI0011X ME144678 FL Primary

Addresses

Primary practice location

4450 E Fletcher Ave Ste C
Tampa, FL 33613-4907

Mailing address

4450 E Fletcher Ave Ste C
Tampa, FL 33613-4907
Phone (813) 975-2800

Other identifiers 1

IdentifierTypeStateIssuer
111383600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713000950 FL Practitioner - Interventional Cardiology 8820331432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vasco M Marques MD PAGroup PAC ID 8022119221, 5 clinicians

Practice addresses (Care Compare)

2136 Ashley Oaks Cir
Suite 101
Wesley Chapel, FL 33544-6902
Phone (813) 975-2800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vasco M Marques MD PA Cardiovascular Disease CurrentSince May 1, 2025 Accepting new patients
Tampa General Hospital Current Accepting new patients
Lake Cardiovascular Diagnostic Center L.L.C Cardiovascular Disease PastSince Jul 15, 2020 Accepting new patients

Locations

5115 N Armenia Ave
Tampa, FL 33603
Phone (813) 556-7515

3010 E 138th Ave
Ste 12
Tampa, FL 33613
Phone (813) 975-2800

4450 E Fletcher Ave
Ste C
Tampa, FL 33613
Phone (813) 336-5237

2136 Ashley Oaks Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 975-2800

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: aboulad296852@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1659626653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 E FLETCHER AVE STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134907",
            "telephone_number": "813-975-2800",
            "fax_number": "813-977-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 E FLETCHER AVE STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134907",
            "telephone_number": "813-975-2800",
            "fax_number": "813-977-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULAD",
        "first_name": "ALAA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME144678",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME144678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111383600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.