Bouloute Healthcare Services, LLC
NPI 1104343532ActiveOrganization· Podiatrist· Woodbridge, VA
Podiatrist in Woodbridge, Virginia, registered in NPPES in August 2017. The authorized official on file is Owmy Bouloute, DPM, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104343532 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 25, 2017 |
| Last updated in NPPES | Aug 25, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 01303301212 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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