Tejaswanni Bolineni, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

58.033619 Issued in OH

Practice address

220 E Walnut St
Lancaster, OH 43130-4464

Phone

(740) 277-6043

Fax

(740) 689-6759

NPI assigned

Apr 17, 2023

Sex

Female

Sole proprietor

No

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 OH

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 Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: tejaswanni.bolineni.p10@direct.fchc.nextgenshare.com

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1437845880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E WALNUT ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304464",
            "telephone_number": "740-277-6043",
            "fax_number": "740-689-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E WALNUT ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304464",
            "telephone_number": "740-277-6043",
            "fax_number": "740-689-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLINENI",
        "first_name": "TEJASWANNI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58.033619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Anne Bobulski
• Cenell Boch, M.S., AT
• Kate Boelky
• Catrina O'Mathuna Bogart, RD, LD
• Jennifer Boggs, LMT
• Christina Marie Bond, MPT, OCS
• Caitlin Evans Bonn
• Sarah H. Bonza, MD
• Kristina Marie Boodoo, APRN
• Charles Henry Bookman, CPRS, CDCA

• Family Medicine Physician in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.