Active NPI
Carlos Rhashad Bolden, M.D.
- Obstetrics & Gynecology Physician
- Carmel, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01070920A
- Practice address
- 11725 Illinois St
Carmel, IN 46032-3008 - Phone
- (317) 688-5200
- NPI assigned
- Apr 17, 2008
- Last updated
- Jul 8, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01070920A | IN | Primary |
Addresses
Primary practice location
11725 Illinois St
Carmel, IN 46032-3008
Mailing address
3245 Health Dr Ste 100
Granger, IN 46530-1380
Other practice location 1
714 N Michigan St
South Bend, IN 46601-1035
Phone (574) 647-7477
Other practice location 2
100 Navarre Pl Ste 4470
South Bend, IN 46601-1168
Phone (574) 647-1405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201068510 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbolden@direct.iuhealth.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Northwestern University Feinberg Medical School, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 N Michigan St
South Bend, IN 46601-1033
Phone 80024338397746
714 N Michigan St
Beacon Medical Group E Blair Warner
South Bend, IN 46601-1035
Phone (574) 647-7477
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Medical Group, Inc. | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Pediatrix Medical Group of Indiana, PC | Current | Accepting new patients | |
| Beacon Medical Group Inc | Current | Accepting new patients | |
| Healthlinc, Inc. | Current | Accepting new patients | |
| Healthlinc, Inc | Current | Accepting new patients | |
| Beacon Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Indiana, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Healthlinc, Inc | Current | Accepting new patients |
Locations
11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
900 I St
Laporte, IN 46350
Phone (219) 324-1670
420 W 4th St
Mishawaka, IN 46544
Phone (574) 252-0300
100 Navarre Pl
Ste 4470
South Bend, IN 46601
Phone (574) 647-1300
1708 High St
South Bend, IN 46613
Phone (574) 237-6640
211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331
615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000
621 Memorial Dr
Ste 402
South Bend, IN 46601
Phone (574) 232-4800
621 Memorial Dr
Ste 403
South Bend, IN 46601
Phone (574) 647-1405
714 N Michigan St
South Bend, IN 46601
Phone (574) 647-7477
1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173
2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
Interoperability endpoints
- cbolden@direct.iuhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Beacon Medical Group Schwartz - Wiekamp
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Neonatal-Perinatal Medicine Physician
- South Bend, IN
- NPI 1437256146
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1528262581
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Obstetrics & Gynecology Physician
- Evansville, IN
- NPI 1811232218
-
dba Beacon Medical Group Anesthesia Elkhart
- Anesthesiology Physician
- Elkhart, IN
- NPI 1437803285
-
dba Beacon Medical Group E. Blair Warner
- Family Medicine Physician
- South Bend, IN
- NPI 1609828946
Obstetrics & Gynecology
-
dba HealthLinc - Newton
- Federally Qualified Health Center (FQHC)
- Morocco, IN
- NPI 1568354116
-
- Federally Qualified Health Center (FQHC)
- South Bend, IN
- NPI 1811465602
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
dba Memorial Epworth Center
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
dba Beacon Granger Hospital, A Memorial Hospital Extension
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1386818599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR STE 100",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11725 ILLINOIS ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323008",
"telephone_number": "317-688-5200"
}
],
"practiceLocations": [
{
"address_1": "714 N Michigan St",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466011035",
"country_code": "US",
"telephone_number": "574-647-7477",
"fax_number": "574-647-3655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Navarre Pl Ste 4470",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466011168",
"country_code": "US",
"telephone_number": "574-647-1405",
"fax_number": "574-647-3970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLDEN",
"first_name": "CARLOS",
"middle_name": "RHASHAD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-17",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01070920A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201068510",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbolden@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11725 Illinois St",
"city": "Carmel",
"state": "IN",
"country_code": "US",
"postal_code": "460323008",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.