Individual provider Active NPI

Evelyn Yoh Bolt, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Broomfield, CO
National Provider Identifier
1003076159
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
DR.0051870 Issued in CO
Practice address
13654 Xavier LN
Suite 201B
Broomfield, CO 80023-3606
Phone
(720) 279-9098
Fax
(720) 540-4250
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X DR.0051870 CO
Sleep Medicine (Internal Medicine) Physician 207RS0012X DR.0051870 CO Primary
Pediatric Sleep Medicine Physician 2080S0012X DR.0051870 CO

Addresses

Primary practice location

13654 Xavier LN
Suite 201B
Broomfield, CO 80023-3606

Mailing address

686 Rockridge Dr
Lafayette, CO 80026-8701
Phone (773) 742-1899

Other identifiers 1

IdentifierTypeStateIssuer
370941YWN5OtherCOMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141024000450 CO Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1456546506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.27 of 100Reported as group
Quality
80.01
Promoting interoperability
100
Improvement activities
40
Cost
77.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Critical Care Pulmonary and Sleep Associates Professional LLP Pulmonary Disease CurrentSince Oct 15, 2022 Accepting new patients
Critical Care Pulmonary and Sleep Associates Professional LLP CurrentSince Jun 8, 2025 Accepting new patients
Inpatient Services, PC CurrentSince May 11, 2015 Accepting new patients
Inpatient Services, PC CurrentSince May 11, 2015 Accepting new patients
Respiratory, Critical Care and Sleep Specialists, LLC Pulmonary Disease Past Accepting new patients
American Home Visiting Physicians Past Accepting new patients
Mukesh K Ahluwalia PC Pulmonary Disease Past Accepting new patients
Suburban Sleep and Pulmonary Medicine, SC Sleep Medicine Past Accepting new patients
Fahey Medical Center S.C. Past Accepting new patients

Locations

274 Union Blvd
Ste 200
Lakewood, CO 80228
Phone (303) 778-5666

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEDDCA
  • FHIR API: https://prevprox.bch.org/FHIRproxyPRD/api/FHIR/R4
  • FHIR API: https://api.platform.athenahealth.com/2395/brand/5/csg/21/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1003076159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 ROCKRIDGE DR",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268701",
            "telephone_number": "773-742-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13654 XAVIER LN",
            "address_2": "SUITE 201B",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233606",
            "telephone_number": "720-279-9098",
            "fax_number": "720-540-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLT",
        "first_name": "EVELYN",
        "middle_name": "YOH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "DR.0051870",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CO",
            "license": "DR.0051870",
            "primary": true
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "CO",
            "license": "DR.0051870",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "370941YWN5",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.