Nathaniel Matthew Bolli, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME118640 Issued in FL

Practice address

18167 US Highway 19 N Ste 650
Clearwater, FL 33764-6576

Phone

(727) 437-3530

Fax

(727) 498-1159

NPI assigned

Jun 22, 2010

Last updated

Jul 17, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Anesthesiology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Brevard Anesthesiologists PAGroup PAC ID 3577477314, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health Melbourne Hospital Hospital, Melbourne, FL, CCN 100291

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Central Brevard Anesthesiologists, PA

  • Anesthesiology Physician
  • Rockledge, FL
  • NPI 1205875671
  Medicare reassignment Care Compare group NPD
• North Pinellas Anesthesia Associates, PA

  • Anesthesiology Physician
  • Tampa, FL
  • NPI 1104879816
  Medicare reassignment NPD
• Northwood Anesthesia Associates LLC

  • Anesthesiology Physician
  • Venice, FL
  • NPI 1811569197
  Medicare reassignment NPD
• Northwood Anesthesia Associates LLC

  • Anesthesiology Physician
  • Port Charlotte, FL
  • NPI 1699347971
  NPD
• Northwood Anesthesia Associates LLC

  • Anesthesiology Physician
  • Trinity, FL
  • NPI 1780256073
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ohmh, LLC

  dba Orlando Health Melbourne Hospital

  • General Acute Care Hospital
  • Melbourne, FL
  • NPI 1033937883
  Care Compare affiliation

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1013238344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18167 US HIGHWAY 19 N STE 650",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646576",
            "telephone_number": "727-437-3530",
            "fax_number": "727-498-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18167 US HIGHWAY 19 N STE 650",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646576",
            "telephone_number": "727-437-3530",
            "fax_number": "727-498-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLI",
        "first_name": "NATHANIEL",
        "middle_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME118640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Bohler, IBCLC
• Shannon L Bohnert, DPM
• Bohrer Group LLC (Shore Lake Dental)
• Veronica F Bohrmann, CRNA
• Leeann Bolgen, FNP-C
• Susan Bolourian, PT
• Scott Bolton, PA-C
• Andrew Boltuch, D.O.
• Breanna Bombard
• Katina Monet Bonaparte, MD

• Anesthesiology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.