Active NPI
Andrew J. Bouley, M.D.
- Neurology Physician
- Wellesley, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 270183
- Practice address
- 110 Cedar St Ste 110
Wellesley, MA 02481-3527 - Phone
- (781) 591-8300
- NPI assigned
- Jun 26, 2013
- Last updated
- May 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 270183 | MA | Primary |
Addresses
Primary practice location
110 Cedar St Ste 110
Wellesley, MA 02481-3527
Mailing address
110 Cedar St Ste 110
Wellesley, MA 02481-3527
Phone (781) 591-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Neurology
- Education
- Duke University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
110 Cedar St
Suite 110
Wellesley, MA 02481-3527
Phone (781) 591-8300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270183 | MA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Auburn Professional Services | Neurology | Current | Accepting new patients |
| The Elliot Lewis Center for Multiple Sclerosis Care LLC | Neurology | Current | Accepting new patients |
| The Elliot Lewis Center for Multiple Sclerosis Care LLC | Neurology | Current | Accepting new patients |
| Umass Memorial Medical Group Inc | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Mount Auburn Professional Services Inc | Neurology | Current | Accepting new patients |
Locations
300 Mount Auburn St
Ste 316
Cambridge, MA 02138
Phone (617) 868-0880
57 Bedford St
Ste 130
Lexington, MA 02420
Phone (781) 484-7500
110 Cedar St
Ste 110
Wellesley Hills, MA 02481
Phone (781) 591-8300
119 Belmont St
Worcester, MA 01605
Phone (508) 334-6345
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- https://api.platform.athenahealth.com/86/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Wellesley, MA
- NPI 1306210422
-
- Internal Medicine Physician
- Cambridge, MA
- NPI 1992750996
Neurology
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
dba Belmont Medical Associates
- Internal Medicine Physician
- Cambridge, MA
- NPI 1013375203
Neurology
-
- Neurology Physician
- Wellesley, MA
- NPI 1063936730
-
dba Urgent Care Express at Harrington
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1790717650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1831539519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CEDAR ST STE 110",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024813527",
"telephone_number": "781-591-8300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CEDAR ST STE 110",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024813527",
"telephone_number": "781-591-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULEY",
"first_name": "ANDREW",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-26",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "270183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; 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.