IndividualActive
Susie Boulos, M.D.
NPI 1174533145 · Specialist · Memphis, TN
Susie Boulos, M.D. is a Specialist provider in Memphis, TN (NPI 1174533145).
Provider details
- NPI number
- 1174533145
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 27769 (TN)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1030 Jefferson Ave
Memphis, TN 38104-2127
Phone: (901) 523-8990
Street-level locationGet directions
Mailing address
9355 Gresham Cv
Germantown, TN 38139-3596
Registry dates
- Enumerated
- 2006-08-09
- Last updated
- 2007-07-08
Frequently asked questions
- What is Susie Boulos's NPI number?
- Susie Boulos's National Provider Identifier (NPI) is 1174533145, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susie Boulos's specialty?
- Susie Boulos is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Susie Boulos located?
- Susie Boulos's practice location on file with NPPES is 1030 Jefferson Ave, Memphis, TN 38104-2127.
- What is Susie Boulos's phone number?
- The practice phone number listed in the NPPES registry for Susie Boulos is (901) 523-8990.
- Is Susie Boulos's NPI active?
- Yes — Susie Boulos's NPI (1174533145) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.