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

Individual provider Emergency Medicine Physician · NPI 1366445652

Fouad S Boulos, MD is an Emergency Medicine in Syracuse, New York. Qualified in 1984, 42 years ago. Practices with Crouse Health Hospital Inc, a 153-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
42
Licensed in
NY
In the registry since
2005
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

736 Irving Ave
Syracuse, NY 13210-1687
Phone: (315) 410-7411
Fax: (315) 470-2693
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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 169814 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 169814 (NY)

Record details

NPI number1366445652
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2005
Last updated in NPPESJune 12, 2008
Mailing address1001 W Fayette St, Suite 400, Syracuse, NY 13204-2859

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Crouse Health Hospital Inc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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