Dr. Mark Samir Boutros, MD
Dr. Mark Samir Boutros, MD is an Internal Medicine in Indianapolis, Indiana. Qualified in 2005, 21 years ago. Practices with Rural Physicians Group-Pannu PLLC, a 135-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana, South Carolina, Tennessee and Virginia.
- Years since qualifying
- 21
- Licensed in
- IN, SC, TN, VA
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4200 S East StIndianapolis, IN 46227
Phone: (317) 991-7600
Fax: (317) 215-7038
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 — (303) 390-1940
- 301 Tyson Ave, Paris, TN 38242-4544 — (731) 642-1220
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 0101265722 (VA) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 01070720A (IN) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 247040 (TN) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 88883 (SC) |
Record details
| NPI number | 1700992674 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 22, 2006 |
| Last updated in NPPES | July 23, 2026 |
| Certification date | July 23, 2026 |
| Mailing address | 4200 S East St, Indianapolis, IN 46227-1534 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Rural Physicians Group-Pannu Pllc — 135 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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