FOUAD S BOULOS (MD) – Emergency Medicine Physician, NPI 1366445652

FOUAD S BOULOS (MD) is a healthcare provider. based in Syracuse, New York. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 169814 (NY). The NPI Number for FOUAD S BOULOS (MD) is 1366445652

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
FOUAD S BOULOS (MD)
NPI
1366445652
Phone
(315) 472-1488
Address
1001 W FAYETTE ST
Enumeration Date
31 May 2005
Last Update Date
12 June 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
9335187566
Group Practice PAC ID
9739173774
Professional Enrollment ID
I20050419001028
Address ID
NY132101687SY736XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:21State licenses:1Digital endpointsOther names

4,917 EMERGENCY MEDICINE in NY

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Provider Addresses for FOUAD S BOULOS (MD)

  • Rockwest Building, 1001, West Fayette Street, Near Westside, Syracuse, Onondaga County, New York, 13204, United States

    SUITE 400

    SYRACUSE, NY 132042859

    Phone: (315) 472-1488

    Fax: (315) 472-8060

    Type: Mailing

  • Crouse Hospital, 736, Irving Avenue, University Hill, Syracuse, Onondaga County, New York, 13210, United States

    SYRACUSE, NY 132101687

    Phone: (315) 410-7411

    Fax: (315) 470-2693

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $312.

Total Amount is formed as General ($312) + Research ($0) + Ownership ($0) = $312.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: BioXcel Therapeutics, Inc. ($110).

Total Amount

$312

General + Research + Ownership

Payments

12

Total payment records

General Amount

$312

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050419001028IEmergency MedicineNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making129122$0
99284Emergency department visit with moderate level of medical decision making4039$0
99291Critical care, first 30-74 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 13204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739173774View full group profile
NameSpecialtyState
Emergency Medicine, HospitalistNY
Hospitalist, Internal MedicineNY
Physician AssistantNY
Hospitalist, Internal MedicineNY
Nurse PractitionerNY
Hospitalist, Internal MedicineIL
Physician AssistantNY
-GA
Nurse PractitionerNY
Internal MedicineNY

Reviews

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Frequently asked questions

What is FOUAD S BOULOS (MD)'s NPI number?
FOUAD S BOULOS (MD)'s NPI is 1366445652 — the number used across U.S. healthcare to identify this provider.
Is FOUAD S BOULOS (MD) still an active registrant?
FOUAD S BOULOS (MD) carries an active NPI according to the public dataset.
What area of care is associated with FOUAD S BOULOS (MD)?
FOUAD S BOULOS (MD)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is FOUAD S BOULOS (MD) located near Syracuse?
FOUAD S BOULOS (MD) currently maps to Syracuse, New York in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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