Charles B. Boles, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME151583 Issued in FL

Practice address

5002 W Lemon St
Tampa, FL 33609-1104

Phone

(813) 286-0033

Fax

(813) 282-1806

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Obstetrics/Gynecology

Education

University of Louisville School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DHP of Manatee PAGroup PAC ID 5799016846, 45 clinicians

Pediatrix Medical Group of Florida IncGroup PAC ID 4486634417, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• DHP of Manatee PA

  • Obstetrics & Gynecology Physician
  • Mangonia Park, FL
  • NPI 1134771611
  Medicare reassignment Care Compare group NPD
• Pediatrix Medical Group of Florida Inc

  • Pediatric Cardiology Physician
  • Sunrise, FL
  • NPI 1083711790

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Women's Care Florida LLC

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1013902923
  Medicare reassignment NPD
• Womens' Health Hospitalists, LLC

  • Obstetrics & Gynecology Physician
  • Tampa, FL
  • NPI 1205295599
  Medicare reassignment NPD
• St. Luke Hospitals Inc

  dba St. Luke Physicians for Women

  • Obstetrics & Gynecology Physician
  • Fort Thomas, KY
  • NPI 1902910987
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1568494953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25317",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336225317",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 W LEMON ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336091104",
            "telephone_number": "813-286-0033",
            "fax_number": "813-282-1806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Medical Center Pkwy",
            "address_2": "Suite 325",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292567",
            "country_code": "US",
            "telephone_number": "615-867-0034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLES",
        "first_name": "CHARLES",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2023-03-07",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD38703",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME151583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssia Niobe Boldin, LCSW
• Daziuah Bolds
• Arica Joy Bolechala, BCBA
• Nia Lillian Bolen-Daniels, OTR
• Brian Keith Bolen, PSY. D., L.M.H.C.
• Bolesta Center, Inc.
• Kassidy Marie Boliek-Gelb
• Kelly Marie Bolin, APRN
• Claudia Bolivar, COTA/L
• Rishi Raghavendar Bolla

• Obstetrics & Gynecology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.