Individual provider Active NPI

George Bolen, M.D.

  • Gastroenterology Physician
  • Bethesda, MD
National Provider Identifier
1093784555
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0034069 Issued in MD
Practice address
10215 Fernwood Rd
Suite 404
Bethesda, MD 20817-1106
Phone
(301) 493-5210
Fax
(301) 493-5479
NPI assigned
Mar 16, 2006
Last updated
Jun 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0034069 MD Primary

Addresses

Primary practice location

10215 Fernwood Rd
Suite 404
Bethesda, MD 20817-1106

Mailing address

12510 Prosperity Dr
Suite 200
Silver Spring, MD 20904-1663
Phone (240) 485-5200

Other identifiers 1

IdentifierTypeStateIssuer
D0034069OtherMDSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20081206000032 DC Practitioner - Gastroenterology 9537235981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Yale University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

6100 Executive Blvd
Suite 301
Rockville, MD 20852-3902
Phone (240) 737-0085

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy124
Upper gastrointestinal (GI) endoscopy for acid reflux72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0034069MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Washington DC LP Current Accepting new patients
Capital Digestive Care LLC Gastroenterology CurrentSince Sep 1, 2008 Accepting new patients
Capital Digestive Care, LLC Gastroenterology CurrentSince Sep 1, 2008 Accepting new patients
First Class Anesthesia, LLC Past Accepting new patients
David a. Morowitz Gastroenterology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Capital Digestive Care ,LLC Gastroenterology Past Accepting new patients

Locations

2000 Pennsylvania Ave NW
Ste 3020
Washington, DC 20006
Phone (202) 478-4540

2021 K St NW
Ste 500
Washington, DC 20006
Phone (202) 463-7611

2021 K St NW
Ste T115
Washington, DC 20006
Phone (202) 775-0574

10215 Fernwood Rd
Ste 404
Bethesda, MD 20817
Phone (301) 493-5210

5550 Friendship Blvd
Ste T100
Chevy Chase, MD 20815
Phone (240) 531-2832

5550 Friendship Blvd
Ste T90
Chevy Chase, MD 20815
Phone (301) 654-2521

125 Potomac Psge
Ste 250
Oxon Hill, MD 20745
Phone (240) 238-0067

6100 Executive Blvd
Ste 300
Rockville, MD 20852
Phone (301) 530-2800

6100 Executive Blvd
Ste 301
Rockville, MD 20852

12510 Prosperity Dr
Ste 200
Silver Spring, MD 20904
Phone (240) 485-5200

Interoperability endpoints

  • Direct secure messaging: george.bolen.capitaldigestivecare@directaddress.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1093784555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 PROSPERITY DR",
            "address_2": "SUITE 200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041663",
            "telephone_number": "240-485-5200",
            "fax_number": "301-625-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "SUITE 404",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "301-493-5210",
            "fax_number": "301-493-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEN",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0034069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D0034069",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.