Lawandy Fawzy Bolis, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME102757 Issued in FL

Practice address

6600 Madison St FL 2
New Port Richey, FL 34652-1971

Phone

(727) 815-7208

Fax

(813) 266-4951

NPI assigned

Sep 12, 2008

Last updated

Sep 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

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

HospitalistAlso: Family Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baycare Home Care Inc Home health agency, New Port Richey, FL, CCN 107260
• Morton Plant North Bay Hospital Hospital, New Port Richey, FL, CCN 100063

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lawandy.bolismd@direct.mybaycare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baycare Medical Group, Inc.

  • General Practice Physician
  • Clearwater, FL
  • NPI 1043269871

  Family Medicine

  Medicare reassignment Care Compare group NPD
• 3XS PLLC

  dba St Mina Primary Clinic

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1093057986
  NPD Authorized official
• Baycare Medical Group, Inc.

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1659720837
  NPD
• Access Healthcare LLC

  • General Practice Physician
  • Spring Hill, FL
  • NPI 1912949561

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baycare Home Care, Inc.

  • Home Health Agency
  • New Port Richey, FL
  • NPI 1225021124
  Care Compare affiliation
• Morton Plant Hospital Association Inc

  dba Morton Plant North Bay Hospital

  • General Acute Care Hospital
  • New Port Richey, FL
  • NPI 1437135811
  Care Compare affiliation

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1679722839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 MADISON ST FL 2",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346521971",
            "telephone_number": "727-815-7208",
            "fax_number": "813-266-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MADISON ST FL 2",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346521971",
            "telephone_number": "727-815-7208",
            "fax_number": "813-266-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIS",
        "first_name": "LAWANDY",
        "middle_name": "FAWZY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME102757",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME102757",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00807399",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "78234",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000577000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lawandy.BolisMD@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anastasia G. Bogris Cronin, APRN
• David Bohunicky, RPH
• Jada Bolden
• Kimberly Boler, BS, LMT, CMCP
• Shannon Nicole Boling, MOT, OTR/L
• Kylie Bollinger, FNP-C
• Cheryl Lynn Bonacquisti, ARNP-BC
• Alyssa Bonfim
• Sierra Booker
• Shamimara N Borachi, MD

• Family Medicine Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.