Atef Abdelmalek Boutros, DDS
NPI 1619024775ActiveIndividual· Dentist, General Practice· Long Beach, CA
Dentist, General Practice (DDS) in Long Beach, California, licensed in CA, with an NPI issued in January 2007. Part D covered 55 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1619024775 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jan 4, 2007 |
| Last updated in NPPES | Oct 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | D48234 | CA |
| Dentist, General Practice | 1223G0001X | 48234 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Oral Surgery (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 55 · 55 30-day fills |
|---|---|
| Patients | 17 |
| Total drug cost | $162.54 |
| Generic share | 100% of claims |
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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