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

Dr. Mina Boutrous, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619399060

Dr. Mina Boutrous, MD is a Vascular Surgery in Houston, Texas. Qualified in 2008, 18 years ago. Practices with University of Connecticut Health Center, a 628-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
18
Licensed in
CT
In the registry since
2014
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

6400 Fannin St Ste 2850
Houston, TX 77030-1521
Phone: (713) 486-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 263 Farmington Ave, Farmington, CT 06030-0001 — (860) 679-8080

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 064496 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619399060
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 19, 2014
Last updated in NPPESSeptember 28, 2022
Certification dateApril 14, 2020
Mailing address6400 Fannin St, Suite 2850, Houston, TX 77030-1521

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice University Of Connecticut Health Center — 628 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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