Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew Simon Baylouny, PA-C

Individual provider Physician Assistant · NPI 1114665429

Andrew Simon Baylouny, PA-C is a Physician Assistant in Boston, Massachusetts. Qualified in 2022, 4 years ago. Practices with Massachusetts General Physicians Organization Inc, a 3,484-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 726-2784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 245 Hartford Ave, Bellingham, MA 02019-3007 — (774) 295-4355

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9255 (MA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1114665429
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 25, 2022
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Massachusetts General Physicians Organization Inc — 3484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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