Dr. Joel Boudreaux, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Iowa City, IA. Individual provider (NPI-1).
NPI number1992496095
StatusActive
Last updated in NPPESMay 18, 2023
Details
- NPI
- 1992496095
- Entity type
- Individual (NPI-1)
- Name
- Dr. Joel Boudreaux
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2023
- Certification date
- May 18, 2023
- Last updated
- May 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - GENERAL SURGERY
- 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 |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | R-12715 | IA | Yes |
Practice location
200 Hawkins DrIowa City, IA 52242-1009
Phone 319-356-4518
Mailing address
200 Hawkins DrIowa City, IA 52242-1009
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