Individual provider Active NPI

Kristine J. Bolin, M.D.

  • Obstetrics & Gynecology Physician
  • Carmel, IN
National Provider Identifier
1407846637
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01048140A Issued in IN
Practice address
13500 N Meridian St
Carmel, IN 46032-1456
Phone
(317) 582-7000
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01048140A IN Primary

Addresses

Primary practice location

13500 N Meridian St
Carmel, IN 46032-1456

Mailing address

13914 Southeastern Pkwy
Suite 314
Fishers, IN 46037-7127
Phone (317) 872-1415

Other practice location 1

13914 Southeastern Pkwy
Suite 314
Fishers, IN 46037-7127
Phone (317) 872-1415

Other identifiers 1

IdentifierTypeStateIssuer
200277410MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kristine.Bolin@ogi.gwaydirect.com 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070430000155 IN Practitioner - Obstetrics/Gynecology 7719083294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13914 Southeastern Pkwy
Suite 314
Fishers, IN 46037-7130
Phone (317) 872-1415

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Hills OB-GYN Associates, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2021 Accepting new patients
Seven Hills OB-GYN Associates LLC Obstetrics & Gynecology CurrentSince Jan 1, 2021 Accepting new patients
Saint Vincent Physician Services, Inc. Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

13420 N Meridian St
Ste 400
Carmel, IN 46032
Phone (317) 573-7050

11595 N Meridian St
Ste 375
Carmel, IN 46032
Phone (317) 575-7304

11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718

13914 Southeastern Pkwy
Ste 314
Fishers, IN 46037
Phone (317) 872-1415

8091 Township Line Rd
Ste 206
Indianapolis, IN 46260
Phone (317) 415-1000

9240 N Meridian St
Ste 200
Indianapolis, IN 46260
Phone (317) 689-0753

18051 River Rd
Ste 202
Noblesville, IN 46062
Phone (317) 773-6106

380 S Junction Xing
#B
Westfield, IN 46074
Phone (317) 573-7050

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHGECA
  • Direct secure messaging: kristine.bolin@ogi.gwaydirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1407846637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13914 SOUTHEASTERN PKWY",
            "address_2": "SUITE 314",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377127",
            "telephone_number": "317-872-1415",
            "fax_number": "317-337-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 N MERIDIAN ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321456",
            "telephone_number": "317-582-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13914 Southeastern Pkwy",
            "address_2": "Suite 314",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460377127",
            "country_code": "US",
            "telephone_number": "317-872-1415",
            "fax_number": "317-337-2571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "KRISTINE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01048140A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200277410",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kristine.Bolin@ogi.gwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "13914 Southeastern Pkwy",
            "address_2": "Suite 314",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460377127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.