NPIMap

Individual provider Active NPI

Nabil Boutros, MD

  • Emergency Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1962493676
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
41834 Issued in TN
Practice address
400 N. Highland Ave
Middle Tennessee Medical Center
Murfreesboro, TN 37130
Phone
(800) 251-2014
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 32688 AZ
Emergency Medicine Physician 207P00000X 41834 TN Primary

Addresses

Primary practice location

400 N. Highland Ave
Middle Tennessee Medical Center
Murfreesboro, TN 37130

Mailing address

One Vantage Way
Suite B-240 Middle Tennessee Emergency Physicians, PC
Nashville, TN 27228-1562
Phone (615) 329-4020

Other identifiers 6

IdentifierTypeStateIssuer
453051001OtherAZGROUP HEALTH GRP
860373636OtherAZHUMANA GROUP
892150MedicaidAZ
AZ0728670OtherAZBLUE CROSS BLUE SHIELD GR
3981220OtherAZEVERCARE GRP
AW1436OtherAZHEALTHNET GRP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20070831000335 TN Practitioner - Emergency Medicine 3072595206 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians' Urgent Care, PLLC CurrentSince Jun 25, 2011 Accepting new patients
Hickman Community Health Careservices CurrentSince Jan 21, 2017 Accepting new patients
Saint Thomas Hickman Hospital CurrentSince Jan 21, 2017 Accepting new patients
Physicians' Urgent Care, PLLC CurrentSince Jun 25, 2011 Accepting new patients
Middle Tennessee Emergency Physicians PC Emergency Medicine CurrentSince Feb 12, 2007 Accepting new patients
Russell Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Florida Em-I Medical Services, PA Emergency Medicine Past Accepting new patients
Emergency Physician Professional Association, LTD. Emergency Medicine Past Accepting new patients
Valley Emergency Physicians Inc Emergency Medicine Past Accepting new patients
North Valley Emergency Specialists Emergency Medicine Past Accepting new patients
Emergency Physicians Professional Association LTD Emergency Medicine Past Accepting new patients
Florida Em-I Medical Services PA Emergency Medicine Past Accepting new patients

Locations

700 Old Hickory Blvd
Ste 207
Brentwood, TN 37027
Phone (615) 457-3864

150 E Swan St
Centerville, TN 37033
Phone (931) 729-3091

135 E Swan St
Centerville, TN 37033
Phone (931) 729-3513

5021 Hughes Xing
Ste 165
Franklin, TN 37064
Phone (615) 794-8877

155 Covey Dr
Ste 100
Franklin, TN 37067
Phone (615) 472-1550

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1962493676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE VANTAGE WAY",
            "address_2": "SUITE B-240 MIDDLE TENNESSEE EMERGENCY PHYSICIANS, PC",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "272281562",
            "telephone_number": "615-329-4020",
            "fax_number": "615-329-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N. HIGHLAND AVE",
            "address_2": "MIDDLE TENNESSEE MEDICAL CENTER",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "37130",
            "telephone_number": "800-251-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTROS",
        "first_name": "NABIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "32688",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "41834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH GRP",
            "identifier": "453051001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GROUP",
            "identifier": "860373636",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "892150",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GR",
            "identifier": "AZ0728670",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE GRP",
            "identifier": "3981220",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET GRP",
            "identifier": "AW1436",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.