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

Dr. Matthew Stephen Boulos, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316327323

Dr. Matthew Stephen Boulos, DO is an Internal Medicine in Wake Forest, North Carolina. Qualified in 2015, 11 years ago. Practices with Wake Specialty Physicians LLC, a 178-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2015
Specialties on file
2
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

11640 Northpark Dr Ste 100
Wake Forest, NC 27587-5741
Phone: (919) 366-7759
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2018-00732 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316327323
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 4, 2015
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing address11640 Northpark Dr Ste 100, Wake Forest, NC 27587-5741

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Wake Specialty Physicians Llc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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