NPIMap

Individual provider Active NPI

Stanley Anthony Boucree Jr., DDS, MD

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1962686030
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D71459 Issued in MD
Practice address
8555 16TH St Ste 404
Silver Spring, MD 20910
Phone
(202) 265-5910
Fax
(301) 585-5901
NPI assigned
Dec 24, 2007
Last updated
Oct 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN5938 DC
Dentist 122300000X 15670 MD
Emergency Medicine Physician 207P00000X MD036903 DC
Internal Medicine Physician 207R00000X D71459 MD Primary

Addresses

Primary practice location

8555 16TH St Ste 404
Silver Spring, MD 20910

Mailing address

8555 16TH Street, Ste. 404
Silver Spring, MD 20910
Phone (202) 265-5910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20120726000204 MD Practitioner - Emergency Medicine 3173605029 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Post Acute Physician Partners LLCGroup PAC ID 8224353891, 36 clinicians

Practice addresses (Care Compare)

26757 Crooked Oak LN
Hebron, MD 21830-1232
Phone (410) 548-2343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
46.78 of 100Reported as apm
Quality
33.56
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DEN5938DCMDDentist
15670MDMDDentist
D71459MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Hollow Health PC CurrentSince Sep 30, 2025 Accepting new patients
Post Acute Physician Partners, LLC Internal Medicine CurrentSince Oct 1, 2019 Accepting new patients
Caton Emergency Physicians Emergency Medicine Past Accepting new patients
Maryland Provo-I Medical Services, PC Emergency Medicine Past Accepting new patients
Steven Remsen, MD PA Emergency Medicine Past Accepting new patients
Boucree & Associates Dentist PastSince Dec 26, 2021 Accepting new patients
Champion Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Cherrywood Limited Partnership Past Accepting new patients

Locations

2434 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-2246

Organizations & group practices 8

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 3

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1962686030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 16TH STREET, STE. 404",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "202-265-5910",
            "fax_number": "301-585-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 16TH ST STE 404",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20910",
            "telephone_number": "202-265-5910",
            "fax_number": "301-585-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCREE",
        "first_name": "STANLEY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN5938",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "15670",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DC",
            "license": "MD036903",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D71459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.