Individual provider Active NPI

Alejandro Enrique Bolivar, MD

  • Family Medicine Physician
  • Franklin, IN
National Provider Identifier
1114669132
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01097660A Issued in IN
Practice address
55 N Milford Dr
Franklin, IN 46131-7308
Phone
(317) 648-7169
NPI assigned
Apr 11, 2022
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01097660A IN Primary

Addresses

Primary practice location

55 N Milford Dr
Franklin, IN 46131-7308

Mailing address

55 N Milford Dr
Franklin, IN 46131-7308
Phone (317) 648-7169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20260120001402 IN Practitioner - Family Practice 7911379441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windrose Health Network IncGroup PAC ID 8426965039, 27 clinicians

Practice addresses (Care Compare)

55 N Milford Dr
Windrose Health Network Franklin
Franklin, IN 46131-7308
Phone (317) 739-4848

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01097660AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windrose Health Network Inc CurrentSince Sep 22, 2025 Accepting new patients
Windrose Health Network Inc Current Accepting new patients
Windrose Health Network, Inc. CurrentSince Sep 22, 2025 Accepting new patients
Major Hospital Past Accepting new patients
Windrose Health Network, Inc. Past Accepting new patients
Windrose Health Network, Inc. Past Accepting new patients
Windrose Health Network, Inc. Past Accepting new patients

Locations

911 E Main Cross St
Edinburgh, IN 46124
Phone (317) 739-4895

55 N Milford Dr
Franklin, IN 46131
Phone (317) 648-7169

5550 S East St
Ste C
Indianapolis, IN 46227
Phone (317) 534-4660

14 Trafalgar Sq
Trafalgar, IN 46181
Phone (317) 412-9190

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 2

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": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1114669132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N MILFORD DR",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461317308",
            "telephone_number": "317-648-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N MILFORD DR",
            "city": "FRANKLIN",
            "state": "IN",
            "postal_code": "461317308",
            "telephone_number": "317-648-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIVAR",
        "first_name": "ALEJANDRO",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01097660A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, IN

Sources for this page

Verify at the official NPI Registry.