Kimberly Bougoulias, M.D.
NPI 1457342453 · Pediatrics Physician · Lake Mary, FL
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kimberly Bougoulias, M.D. is a Pediatrics Physician provider in Lake Mary, FL (NPI 1457342453).
Provider details
- NPI number
- 1457342453
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- ME61498 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
20 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- 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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$22 across 1 record (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
Registry dates
- Enumerated
- 2005-10-31
- Last updated
- 2020-05-18
- Certified
- 2020-05-18
Frequently asked questions
- What is Kimberly Bougoulias's NPI number?
- Kimberly Bougoulias's National Provider Identifier (NPI) is 1457342453, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Bougoulias's specialty?
- Kimberly Bougoulias is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kimberly Bougoulias located?
- Kimberly Bougoulias's practice location on file with NPPES is 725 Rodel Cv, Lake Mary, FL 32746-4859.
- What is Kimberly Bougoulias's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Bougoulias is (407) 302-3130.
- Does Kimberly Bougoulias accept Medicare?
- Kimberly Bougoulias is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kimberly Bougoulias's NPI active?
- Yes — Kimberly Bougoulias's NPI (1457342453) is active in the NPPES registry as of the last update on 2020-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.