Elia Boles

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0116029797 Issued in VA

Practice address

Carilion Clinic Roanoke Memorial Hospital
1906 Belleview Ave,
Roanoke, VA 24014

Phone

(540) 981-7000

NPI assigned

Aug 26, 2016

Sex

Male

Sole proprietor

Yes

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 VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: drboles@kidzcarepediatrics.opdirect.net

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.

• G. M. Ramappa, M.D., F.a.a.P., P.a.

  • Pediatrics Physician
  • Hudson, FL
  • NPI 1245204833
  NPD (past)

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1407302847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6736 MALLARD LAKE DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186931",
            "telephone_number": "540-855-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARILION CLINIC ROANOKE MEMORIAL HOSPITAL",
            "address_2": "1906 BELLEVIEW AVE,",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24014",
            "telephone_number": "540-981-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "ELIA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0116029797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Erika Bolden, PH.D.
• Latonya Bolden Bolden, LCSW
• Michie Armell Bolden, NP
• Dana Parker Bolding, M.S. CF-SLP
• Joyce P Bolender, LCSW
• Cynthia L Bolling, OTR
• Kimberly Ann Bolling, RN
• Thomas B Bolton, M.D.
• Jeremy Boltz, PHARM.D.
• Paul Anton Bomar

• Pediatrics Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.