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

Dr. Daniel Jeffrey Boulter, MD

Individual provider Diagnostic Radiology Physician · NPI 1114199197

Dr. Daniel Jeffrey Boulter, MD is a Diagnostic Radiology in Columbus, Ohio. Graduated from Ohio Medical University in 2007, 19 years ago. Practices with Osu Radiology LLC, a 180-clinician group and accepts Medicare assignment. Licensed in Massachusetts, Ohio and South Carolina.

Years since qualifying
19
Trained at
Ohio Medical University
Licensed in
MA, OH, SC
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

395 W 12th Ave Rm 460
Columbus, OH 43210-1267
Phone: (614) 293-8315
Fax: (614) 293-6935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 35123344 (OH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 249788 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 30836 (SC)

Record details

NPI number1114199197
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2008
Last updated in NPPESMay 27, 2014
Mailing address395 W 12th Ave, Rm 460, Columbus, OH 43210-1267

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOHIO MEDICAL UNIVERSITY
Graduated 2007 (19 years in practice)
Group practice Osu Radiology Llc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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