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

Dr. Michael Boulous, MD

Individual provider Diagnostic Radiology Physician · NPI 1225590169

Dr. Michael Boulous, MD is a Diagnostic Radiology in Indianapolis, Indiana. Graduated from Indiana University School of Medicine in 2019, 7 years ago. Practices with Decatur County Memorial Hospital, a 130-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Trained at
Indiana University School of Medicine
Licensed in
IN
In the registry since
2019
Specialties on file
2
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

550 University Blvd
Indianapolis, IN 46202-5149
Phone: (317) 944-2621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 01086907A (IN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 01086907A (IN)

Record details

NPI number1225590169
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025
Mailing address9998 Crosspoint Blvd Ste 200, Indianapolis, IN 46256-3307

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Decatur County Memorial Hospital — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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