Active NPI
Madhavi Bolarum, MD
- Pediatrics Physician
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0069035
- Practice address
- 11116 Medical Campus Rd
Hagerstown, MD 21742-6710 - Phone
- (301) 790-8804
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0069035 | MD | Primary |
| Children's Hospital | 282NC2000X | D69035 | MD |
Addresses
Primary practice location
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Mailing address
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8804
Other practice location 1
400 W 7th St
Frederick, MD 21701-4506
Phone (240) 566-3447
Other names 1
- Madhavi Bolarum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110523000633 | MD | Practitioner - Pediatric Medicine | 2365628583 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D69035 | MD | MD | Children's Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Meritus Medical Center Inc | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Children'S Hospital | Children | Past | Accepting new patients |
| Harbor Hospital, Inc. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
Organizations & group practices 10
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.
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- NPI 1184477911
-
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- NPI 1548559248
-
- Neurology Physician
- MC Lean, VA
- NPI 1598552226
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1720175623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1467582841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11116 MEDICAL CAMPUS RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426710",
"telephone_number": "301-790-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11116 MEDICAL CAMPUS RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426710",
"telephone_number": "301-790-8804"
}
],
"practiceLocations": [
{
"address_1": "400 W 7th St",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217014506",
"country_code": "US",
"telephone_number": "240-566-3447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLARUM",
"first_name": "MADHAVI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0069035",
"primary": true
},
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": "MD",
"license": "D69035",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MADHAVI",
"last_name": "BOLARUM",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.