- Practice location
- 21216 Northwest Fwy Ste 620, Cypress, TX 77429-4699
- Phone
- 281-807-4380
- Fax
- 833-521-2189
- Last updated
- March 11, 2026
Nickolas Boutris is an Orthopaedic Surgery, Sports Medicine based in Cypress, TX. Nickolas Boutris practices in Cypress, TX and has the professional credentials of MD. The NPI Number for Nickolas Boutris is 1952745804 and holds a License No. S1054 (TX). The current practice location address for Nickolas Boutris is 21216 Northwest Fwy Ste 620, Cypress, TX 77429-4699 and can be reached out via phone at 281-807-4380 and via fax at 833-521-2189.
Provider Profile Details
- NPI Number
- 1952745804
- Provider Name
- Nickolas Boutris
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 21216 Northwest Fwy Ste 620, Cypress, TX 77429-4699
- Phone Number
- 281-807-4380
- Fax Number
- 833-521-2189
- Primary Taxonomy
- Orthopaedic Surgery, Sports Medicine · 207XX0005X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 22, 2013
- Last Update Date
- March 11, 2026
- Certification Date
- March 11, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21216 Northwest Fwy Ste 620
Cypress, TX 77429-4699 - City
- Cypress
- State
- Texas
- Zip
- 77429-4699
- Phone Number
- 281-807-4380
- Fax Number
- 833-521-2189
Provider Business Mailing Address Details
- Address
- 4700 Seton Center Pkwy Ste 115
Austin, TX 78759-5753 - City
- Austin
- State
- TX
- Zip
- 78759-5753
- Phone Number
- 281-807-4380
- Fax Number
- 833-521-2189
License Information
- License Number (1)
- S1054
- License State (1)
- TX
- Taxonomy (1)
- Orthopaedic Surgery · 207X00000X
- License Number (2)
- S1054
- License State (2)
- TX
- Taxonomy (2)
- Orthopaedic Surgery, Sports Medicine · 207XX0005X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Nickolas Boutris, MD?
The NPI number of Dr. Nickolas Boutris, MD is 1952745804. It was assigned on April 22, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Nickolas Boutris, MD?
Dr. Nickolas Boutris, MD is registered under the primary taxonomy Orthopaedic Surgery, Sports Medicine (code 207XX0005X), licensed in TX under license number S1054.
Where does Dr. Nickolas Boutris, MD practice?
The practice location is 21216 Northwest Fwy Ste 620, Cypress, TX 77429-4699. The office can be reached at 281-807-4380 (phone) or 833-521-2189 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952745804 directly on the NPPES registry website.