Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689067829 Individual Practitioner Female Practitioner

Dr. Samar Marie Boulos , DO

Pediatrics • Lansing, MI

Professional Overview & Biography Verified Profile Summary

Dr. Samar Boulos, DO is a registered healthcare professional specializing in Pediatrics in Lansing, MI. Practice services are available at 1717 N HIGH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1717 N High St

Lansing, MI 489064597

Telephone 5173711700
Fax 5173714245
Associated Practice Facility / Clinic
🏢 Cristo Rey Community Center Facility NPI 1407800931

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
111 Specialists

Practicing in Lansing, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 5101024418

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Stephanie Schultz , NP

Nurse Practitioner - Family

NPI 1073236253

Nurse Practitioner

Dr. Peter Cooke , MD

General Practice

NPI 1578767406

Doctor of Medicine (M.D.)

Rochelle Rein , NP

Nurse Practitioner

NPI 1578903266

Nurse Practitioner

NPI 1750378758

Doctor of Osteopathic Medicine (D.O.)

NPI 1760746788

Doctor of Osteopathic Medicine (D.O.)

Linda Hughes , NP

Nurse Practitioner - Family

NPI 1922173103

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location April 22, 2022

Registered at 1717 N HIGH ST, LANSING, MI 489064597 (Tel: 5173711700)

📍
Updated Business Mailing Address April 22, 2022

Registered at 1717 N HIGH ST, LANSING, MI 489064597 (Tel: 5173711700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2022

Pediatrics (License #5101024418 in MI)

📍
Updated Practice Location December 07, 2018

Registered at 1939 W CHELTENHAM AVE, ELKINS PARK, PA 190271046 (Tel: 2158845715)

📍
Updated Business Mailing Address December 07, 2018

Registered at 1939 W CHELTENHAM AVE, ELKINS PARK, PA 190271046 (Tel: 2158845715)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2018

Pediatrics (License #OS019648 in PA)

NPI Profile Active March 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 12, 2015

Registered at 717 S HOUSTON AVE, TULSA, OK 741279023 (Tel: 9183823178)

📍
Updated Business Mailing Address March 12, 2015

Registered at 6161 S YALE AVE, TULSA, OK 741361902 (Tel: 9184941215)

👤
Provider Name / Credentials Updated March 12, 2015

Recorded as SAMAR BOULOS, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 12, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Samar Boulos. Be the first to share your experience!

Sign in to leave a review for Dr. Samar Boulos

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1689067829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2015
Last Update: April 22, 2022
Sole Proprietor: No

Mailing Address

1717 N High St

Lansing, MI 489064597

Phone: 5173711700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.