Konstantinos D. Boudoulas, M.D.
NPI 1003976507ActiveIndividual· Internal Medicine, Interventional Cardiology· Columbus, OH
Internal Medicine, Interventional Cardiology (M.D.) in Columbus, Ohio, trained at Ohio State University College of Medicine (class of 2001). 323 Medicare patients in 2024, $113,293 paid; nearly all of their 84 Part D prescriptions were generic (92%).
Overview
| NPI | 1003976507 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 12, 2006 |
| Last updated in NPPES | Apr 21, 2026 |
| Certified by provider | Apr 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Interventional Cardiology Primary | 207RI0011X | 35.094280 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Interventional Cardiology (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 323 |
|---|---|
| Services billed | 678 across 48 procedure codes |
| Paid by Medicare | $113,293 |
Part D prescriptions in 2024
| Prescriptions (claims) | 84 · 219 30-day fills |
|---|---|
| Patients | 23 |
| Total drug cost | $5,028 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | Ohio State University College of Medicine |
|---|---|
| Graduation year | 2001 |
| Medicare specialty | Interventional Cardiology |
| Telehealth | Offers telehealth |
Medical group
- Osu Internal Medicine LLCColumbus, OH · 1,161 clinicians
Hospital affiliation
- Ohio State University State Health SystemColumbus, OH
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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