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

Amory De Roulet

Individual provider Surgery Physician · NPI 1477085207

Amory De Roulet is a General Surgery in Boston, Massachusetts. Graduated from University of Southern California Keck School of Medicine in 2017, 9 years ago. Practices with VI Medical and Surgical Associates, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
9
Trained at
University of Southern California Keck School of Medicine
Licensed in
MA
In the registry since
2017
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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2696
Phone: (617) 726-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 291548 (MA)

Record details

NPI number1477085207
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2017
Last updated in NPPESMay 31, 2022
Certification dateMay 31, 2022
Mailing address5645 Main St, Flushing, NY 11355-5045

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolUNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Vi Medical And Surgical Associates, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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