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

Individual provider Emergency Medicine Physician · NPI 1780830703

Dr. Dany Boulos, MD is a Family Practice in Philadelphia, Pennsylvania. Qualified in 2005, 21 years ago. Practices with Cepamerica Illinois LLP, a 493-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois, Indiana and Pennsylvania.

Years since qualifying
21
Licensed in
IL, IN, PA
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11000 Roosevelt Blvd 360
Philadelphia, PA 19116-3961
Phone: (215) 677-1475
Fax: (215) 677-3082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 519 S Roselle Rd, Schaumburg, IL 60193-2925 — (847) 985-0600
  • 486 Randall Rd Unit B, South Elgin, IL 60177-3354 — (224) 783-5000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036141752 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036141752 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD453720 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01068800A (IN)

Record details

NPI number1780830703
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 11, 2008
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Cepamerica Illinois Llp — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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