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

Dr. Jennifer Nofar Boukouris, MD

Individual provider Emergency Medicine Physician · NPI 1659574317

Dr. Jennifer Nofar Boukouris, MD is an Emergency Medicine in Detroit, Michigan. Graduated from Wayne State University School of Medicine in 2006, 20 years ago. Practices with Independent Observation Physicians PLLC, a 136-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
20
Trained at
Wayne State University School of Medicine
Licensed in
MI
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

22101 Moross Rd Dept OF Emergency Medicine
Detroit, MI 48236-2148
Phone: (313) 343-8797
Fax: (313) 343-7620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4301088556 (MI)

Record details

NPI number1659574317
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 8, 2007
Last updated in NPPESFebruary 20, 2008

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Independent Observation Physicians Pllc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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