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

Dr. Fouad Ismat Boulos, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1417098831

Dr. Fouad Ismat Boulos, MD is a Pathology in Saint Louis, Missouri. Qualified in 2001, 25 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
25
Licensed in
MO
In the registry since
2007
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

1 Barnes Jewish Hospital Plz Div Pa Anatomic And Molecular Path
Saint Louis, MO 63110-1003
Phone: (314) 362-5641
Fax: (314) 362-0369
Show map & directions

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

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 2020012845 (MO)

Record details

NPI number1417098831
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 9, 2007
Last updated in NPPESApril 15, 2025

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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