Samy Boulos, DDS
NPI 1275775348 · General Practice Dentistry · Shoreview, MN
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samy Boulos, DDS is a General Practice Dentistry provider in Shoreview, MN (NPI 1275775348).
Provider details
- NPI number
- 1275775348
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D12329 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
17 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 60 | 44 |
| Acetaminophen With Codeinebrand: Acetaminophen-Codeine | 31 | 25 |
| Dexamethasone | 23 | 21 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 18 | 15 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$105 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 14000 Northdale Blvd Ste JRogers, MN 55374-4663Phone: (763) 428-2300Fax: (763) 428-4031
Registry dates
- Enumerated
- 2009-04-03
- Last updated
- 2019-02-14
Frequently asked questions
- What is Samy Boulos's NPI number?
- Samy Boulos's National Provider Identifier (NPI) is 1275775348, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samy Boulos's specialty?
- Samy Boulos is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Samy Boulos located?
- Samy Boulos's practice location on file with NPPES is 470 Highway 96 W Ste 200, Shoreview, MN 55126-3214.
- What is Samy Boulos's phone number?
- The practice phone number listed in the NPPES registry for Samy Boulos is (651) 366-6880.
- Does Samy Boulos accept Medicare?
- Samy Boulos is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samy Boulos's NPI active?
- Yes — Samy Boulos's NPI (1275775348) is active in the NPPES registry as of the last update on 2019-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.