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Dr. Samar Marie Boulos , DO

Pediatrics • Lansing, MI

Active NPI 1689067829 Individual Practitioner Female Practitioner
Practice location in NPPES

1717 N High St
Lansing, MI 489064597

Call 5173711700 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1717 N High St

Lansing, MI 489064597

Telephone 5173711700
Fax 5173714245
Organization at the Same NPPES Address or Phone
Cristo Rey Community Center Facility NPI 1407800931

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2025

All general payments: $576.62 across 30 records.

By nature of payment

  • Food and Beverage: $576.62 across 30 records.

Reporting-company totals (3 largest of 10)

  • ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.): $199.27 across 10 records.
  • Novo Nordisk Inc: $80.19 across 5 records.
  • Alkermes, Inc.: $77.24 across 3 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Boulos has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Boulos as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lansing and Michigan

108 active clinicians are listed under Pediatrics with a practice address in Lansing, MI (2,181 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lansing

0% of these 108 clinicians have the CMS telehealth indicator.

2.8% of these 108 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 30 records totaling $576.62.

Manufacturer Payment Nature Product Type Amount ($)
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $32.89
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $29.45
Alkermes, Inc.
Food and Beverage
In-kind items and services
VIVITROL General $29.30
Alkermes, Inc.
Food and Beverage
In-kind items and services
VIVITROL General $28.77
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $27.30
Axsome Therapeutics, Inc.
Food and Beverage
In-kind items and services
Auvelity General $22.73
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $22.65
Exact Sciences Corporation
Food and Beverage
In-kind items and services
The Cologuard Plus Collection Kit General $22.34
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $20.51
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
ROTATEQ General $19.86
Abbott Laboratories
Food and Beverage
In-kind items and services
FREESTYLE LIBRE 3 General $19.43
Alkermes, Inc.
Food and Beverage
In-kind items and services
VIVITROL General $19.17
Teva Pharmaceuticals USA, Inc.
Food and Beverage
In-kind items and services
UZEDY General $18.51
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
ROTATEQ General $18.11
Novo Nordisk Inc
Food and Beverage
In-kind items and services
— General $18.01
Axsome Therapeutics, Inc.
Food and Beverage
In-kind items and services
Auvelity General $17.99
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
REXULTI General $17.16
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $16.74
Exact Sciences Corporation
Food and Beverage
In-kind items and services
The Cologuard Plus Collection Kit General $16.73
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $16.22
Abbott Laboratories
Food and Beverage
In-kind items and services
FREESTYLE LIBRE 3 General $15.86
Teva Pharmaceuticals USA, Inc.
Food and Beverage
In-kind items and services
UZEDY General $15.73
Pfizer Inc.
Food and Beverage
In-kind items and services
PREVNAR 20 General $15.47
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
Food and Beverage
In-kind items and services
CAPLYTA General $15.22
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Wegovy General $14.90

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-04-22
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MI 5101024418

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20210804000370

Enrollment State Jurisdiction

MI

PECOS Control ID

6406250083

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Peter Cooke , MD

General Practice

NPI 1578767406

Doctor of Medicine (M.D.)

NPI 1952470361

Doctor of Medicine (M.D.)

NPI 1750378758

Doctor of Osteopathic Medicine (D.O.)

Rochelle Rein , NP

Nurse Practitioner

NPI 1578903266

Nurse Practitioner

Stephanie Schultz , NP

Nurse Practitioner - Family

NPI 1073236253

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
📍
Updated Practice Location April 22, 2022

Registered at 1717 N HIGH ST, LANSING, MI 489064597 (Tel: 5173711700)

📍
Updated Business Mailing Address April 22, 2022

Registered at 1717 N HIGH ST, LANSING, MI 489064597 (Tel: 5173711700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2022

Pediatrics (license number reported to NPPES: MI 5101024418)

📍
Updated Practice Location December 07, 2018

Registered at 1939 W CHELTENHAM AVE, ELKINS PARK, PA 190271046 (Tel: 2158845715)

📍
Updated Business Mailing Address December 07, 2018

Registered at 1939 W CHELTENHAM AVE, ELKINS PARK, PA 190271046 (Tel: 2158845715)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2018

Pediatrics (license number reported to NPPES: PA OS019648)

✅
NPI Profile Active March 12, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) March 12, 2015

Registered at 717 S HOUSTON AVE, TULSA, OK 741279023 (Tel: 9183823178)

📍
Business Mailing Address (Initial Record) March 12, 2015

Registered at 6161 S YALE AVE, TULSA, OK 741361902 (Tel: 9184941215)

👤
Provider Name / Credentials (Initial Record) March 12, 2015

Recorded as SAMAR BOULOS, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 12, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689067829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2015
Last Update: April 22, 2022
Sole Proprietor: No

Other Pediatrics Specialists in Lansing

Healthcare providers in Lansing

Mailing Address

1717 N High St

Lansing, MI 489064597

Phone: 5173711700

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.