Individual provider Active NPI

Ryan Bolotte, MD

  • Allergy & Immunology Physician
  • Rockville, MD
National Provider Identifier
1497318018
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
D0100714 Issued in MD
Practice address
9601 Blackwell Rd # 350
Rockville, MD 20850-3472
Phone
(301) 545-5512
NPI assigned
Apr 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X D0100714 MD Primary

Addresses

Primary practice location

9601 Blackwell Rd # 350
Rockville, MD 20850-3472

Mailing address

9601 Blackwell Rd # 350
Rockville, MD 20850-3472
Phone (301) 545-5512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20240926002229 DC Practitioner - Allergy/Immunology 8628444239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Louisiana State University School of Medicine in New Orleans, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schreiber AllergyGroup PAC ID 4082934955, 5 clinicians

Practice addresses (Care Compare)

9601 Blackwell Rd
Suite 350
Rockville, MD 20850-3472
Phone (301) 545-5512

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Schreiber Allergy Allergy & Immunology CurrentSince Sep 11, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9601 Blackwell Rd
#350
Rockville, MD 20850
Phone (301) 545-5512

9601 Blackwell Rd
Ste 350
Rockville, MD 20850
Phone (301) 545-5512

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1497318018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD # 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503472",
            "telephone_number": "301-545-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BLACKWELL RD # 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503472",
            "telephone_number": "301-545-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOTTE",
        "first_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0100714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.