Houman Bolourian, MD
Family Medicine in Kissimmee, FL. Individual provider (NPI-1).
NPI number1124150396
StatusActive
Last updated in NPPESOct 30, 2026
Details
- NPI
- 1124150396
- Entity type
- Individual (NPI-1)
- Name
- Houman Bolourian
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2007
- Certification date
- Oct 30, 2026
- Last updated
- Oct 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME101168 | FL | Yes |
| 207Q00000X | Family Medicine | 0101243332 | VA | |
| 207Q00000X | Family Medicine | 7717A | WY |
Practice location
831 Simpson RdKissimmee, FL 34744-5328
Phone 407-483-5757
Mailing address
10850 Emerald Chase DrOrlando, FL 32836-5882
Phone 407-721-2475
Other practice locations
8014 Conroy Windermere Rd Ste 104
Orlando, FL 32835-2537
Orlando, FL 32835-2537
Phone 407-291-8975 · Fax 407-296-5220
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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