Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Nidal Boutros

Individual provider Internal Medicine Physician · NPI 1629036173

Dr. Nidal Boutros practises Internal Medicine in Lebanon, Missouri. Qualified in 1990, 36 years ago. Practices with Statland Medical Group LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
36
Licensed in
MO
In the registry since
2006
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Practice location Address checks out

120 Hospital Dr Ste 300
Lebanon, MO 65536-9238
Phone: (417) 533-6746
Fax: (417) 533-6740
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Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2009027847 (MO)

Record details

NPI number1629036173
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESFebruary 10, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Statland Medical Group Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients376
Services billed 4,558 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $554 37 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Menorah Medical Center Hospital · Overland Park, KS · listed as Midwest Division - Mmc, LLC
  • Saint Luke'S South Hospital Hospital · Overland Park, KS · listed as Saint Luke's South Hospital Inc
  • University Of Kansas Hospital Hospital · Kansas City, KS
  • Adventhealth Home Health Home health agency · Shawnee Mission, KS · listed as Adventhealth Home Health and Hospice Inc
  • Village Shalom Inc Nursing home · Overland Park, KS · listed as Village Shalom, Inc
  • Belton Regional Medical Center Hospital · Belton, MO
  • Overland Park Reg Med Ctr Hospital · Overland Park, KS
  • Hca Midwest Healthcare At Home Home health agency · Kansas City, MO

Colleagues at Statland Medical Group LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Lebanon