{"npi":"1003976507","type":"NPI-1","status":"active","name":{"display":"Dr. Konstantinos Boudoulas M.D.","other":[],"first":"KONSTANTINOS","last":"BOUDOULAS","middle":"D","credential":"M.D."},"specialty":{"primary_taxonomy":"207RI0011X","primary_taxonomy_description":"Interventional Cardiology","slug":"interventional-cardiology","schema_org_specialty":"Cardiovascular","all":[{"code":"207RI0011X","description":"Interventional Cardiology","primary":true,"state":"OH","license":"35.094280"}]},"addresses":[{"purpose":"LOCATION","street_1":"452 W 10TH AVE","city":"COLUMBUS","state":"OH","postal_code":"432101240","country_code":"US","phone":"6142937677","fax":"6142935614"},{"purpose":"MAILING","street_1":"700 ACKERMAN RD STE 2120","city":"COLUMBUS","state":"OH","postal_code":"432021559","country_code":"US","phone":"6142937677","fax":"6142938518"}],"license":{"state":"OH","number":"35.094280"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"2997119","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20091104000740","type_code":"14-C3","type_desc":"PRACTITIONER - INTERVENTIONAL CARDIOLOGY","state":"OH","pac_id":"5799823100"}]},"enumeration_date":"2006-12-12","last_updated":"2026-04-21","_meta":{"source":"NPPES","snapshot_date":"2026-04-21","doc_url":"https://findmynpi.com/api"}}