DENIS A BOUBOULIS, MD — NPI 1619035417 (Licensed & Credentialed Allopathic & Osteopathic Physicians

CMS-1500 Box 24J / 33a • NPI

1619035417

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207K00000X (CMS 03)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology

Box 32 Service Location & ZIP+4

106 NOROTON AVE, DARIEN, CT, 06820-5237

✓ 9-Digit EDI 837 ZIP+4 (06820-5237)

Practice Phone & Referral Fax

(203) 655-9904

Fax: (203) 656-1416

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619035417 (DENIS A BOUBOULIS, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619035417` (NPI-1 Individual Practitioner)
Provider / Legal Name	DENIS A BOUBOULIS, MD
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology NUCC Code: `207K00000X` (Allergy & Immunology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	106 NOROTON AVE, DARIEN, CT, 06820-5237
Practice Telephone / Fax	Tel: (203) 655-9904 \| Fax: (203) 656-1416
Administrative Mailing Address	106 NOROTON AVE, DARIEN, CT, 06820
Enumeration & Last Sync	Enumerated: 2006-12-05 \| CMS Record Updated: 2014-01-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

106 NOROTON AVE, DARIEN, CT, 06820-5237

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Plain-English Taxonomy & CMS Crosswalk (207K00000X)

What Does Taxonomy Code 207K00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207K00000X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 03 (Physician/Allergy/ Immunology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Allergy & Immunology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DENIS A BOUBOULIS, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207K00000X` — Allergy & Immunology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology	State: CT \| License: `029667` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DENIS A BOUBOULIS, MD (NPI #1619035417)