Anthony W Boutt MD PC
NPI 1073939732 · Surgery Physician · Port Huron, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anthony W Boutt MD PC is a Surgery Physician organization in Port Huron, MI (NPI 1073939732).
Provider details
- NPI number
- 1073939732
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Anthony Boutt, Physician/Owner(810) 987-3556
- License
- 4301070173 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-03-05
- Last updated
- 2014-03-05
Frequently asked questions
- What is Anthony W Boutt MD PC's NPI number?
- Anthony W Boutt MD PC's National Provider Identifier (NPI) is 1073939732, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Anthony W Boutt MD PC?
- Anthony W Boutt MD PC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Anthony W Boutt MD PC located?
- Anthony W Boutt MD PC's practice location on file with NPPES is 1522 Pine Grove Ave Ste C, Port Huron, MI 48060-3382.
- What is Anthony W Boutt MD PC's phone number?
- The practice phone number listed in the NPPES registry for Anthony W Boutt MD PC is (810) 987-3556.
- Does Anthony W Boutt MD PC accept Medicare?
- Anthony W Boutt MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Anthony W Boutt MD PC?
- The authorized official listed on Anthony W Boutt MD PC's NPPES record is Anthony Boutt, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Anthony W Boutt MD PC's NPI active?
- Yes — Anthony W Boutt MD PC's NPI (1073939732) is active in the NPPES registry as of the last update on 2014-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.