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

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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