Bouloute Healthcare Services, LLC
NPI 1104343532 · Podiatrist · Woodbridge, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bouloute Healthcare Services, LLC is a Podiatrist organization in Woodbridge, VA (NPI 1104343532).
Provider details
- NPI number
- 1104343532
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Owmy Bouloute, Owner(678) 517-4214
- License
- 01303301212 (VA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
- 2017-08-25
- Last updated
- 2017-08-25
Frequently asked questions
- What is Bouloute Healthcare Services, LLC's NPI number?
- Bouloute Healthcare Services, LLC's National Provider Identifier (NPI) is 1104343532, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bouloute Healthcare Services, LLC?
- Bouloute Healthcare Services, LLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Bouloute Healthcare Services, LLC located?
- Bouloute Healthcare Services, LLC's practice location on file with NPPES is 5049 Anchorstone Dr, Woodbridge, VA 22192-8320.
- What is Bouloute Healthcare Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bouloute Healthcare Services, LLC is (678) 517-4214.
- Does Bouloute Healthcare Services, LLC accept Medicare?
- Bouloute Healthcare Services, LLC 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 Bouloute Healthcare Services, LLC?
- The authorized official listed on Bouloute Healthcare Services, LLC's NPPES record is Owmy Bouloute, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bouloute Healthcare Services, LLC's NPI active?
- Yes — Bouloute Healthcare Services, LLC's NPI (1104343532) is active in the NPPES registry as of the last update on 2017-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.