Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Boulos, DO

Individual provider Pulmonary Disease Physician · NPI 1689010100

Andrew Boulos, DO is a Pulmonary Disease in Pueblo, Colorado. Graduated from Western University of Health Sciences College of Dental Med in 2013, 13 years ago. Practices with Lutheran Hospital Association of the San Luis Valley, a 150-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
13
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
CO
In the registry since
2013
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1600 N Grand Ave Ste 140
Pueblo, CO 81003-2755
Phone: (719) 564-1542
Fax: (719) 566-0916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 400 N Pepper Ave Ste 204, Colton, CA 92324-1801 — (909) 580-6266
  • 2222 N Nevada Ave Ste 4004, Colorado Springs, CO 80907-6832 — (719) 471-7064

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence DR.0058436 (CO)

Record details

NPI number1689010100
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 13, 2013
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing address2222 N Nevada Ave Ste 4004, Colorado Springs, CO 80907-6832

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 2013 (13 years in practice)
Group practice Lutheran Hospital Association Of The San Luis Valley — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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