Arnold Garcia Bolisay, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

036087183 Issued in IL

Practice address

17047 La Grange Rd
Orland Park, IL 60487-7227

Phone

(815) 300-7764

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

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

Endocrinology

Education

R Franklin University of Med & Sci/Chicago Medical School, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Service Systems, IncGroup PAC ID 2264408699, 63 clinicians

Premier Suburban Medical Group, PLLCGroup PAC ID 5294155818, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Health Service Systems, Inc

  • Internal Medicine Physician
  • New Lenox, IL
  • NPI 1851323257
  Medicare reassignment Care Compare group NPD
• Premier Suburban Medical Group, PLLC

  • Multi-Specialty Clinic/Center
  • Orland Park, IL
  • NPI 1902412950
  Medicare reassignment Care Compare group NPD
• Health Service Systems, Inc

  • Urgent Care Clinic/Center
  • Mokena, IL
  • NPI 1578235800
  NPD
• Premier Suburban Medical Group, PLLC

  • Multi-Specialty Clinic/Center
  • Orland Park, IL
  • NPI 1528642378
  NPD
• Primary Care Medical Associates Inc

  • Family Medicine Physician
  • Lantana, FL
  • NPI 1720203763
  NPD (past)
• Primary Care Medical Associates, Inc.

  • Family Medicine Physician
  • Boynton Beach, FL
  • NPI 1306835855
  NPD (past)

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

• Silver Cross Hospital & Medical Centers

  • Rehabilitation Hospital Unit
  • New Lenox, IL
  • NPI 1003933797
  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • General Acute Care Hospital
  • New Lenox, IL
  • NPI 1568553519
  Care Compare affiliation

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1891758512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17047 LA GRANGE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604877227",
            "telephone_number": "815-300-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17047 LA GRANGE RD",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604877227",
            "telephone_number": "815-300-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLISAY",
        "first_name": "ARNOLD",
        "middle_name": "GARCIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036087183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087183",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LOC 15 PIN",
            "identifier": "IL3596037",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00268578",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Boehne, LCPC
• Sheila Adele Boender, MA, LCPC
• Sangita Bogati, LCPC
• Nadine Bokowski, NP
• Nancy Boktor, DPT
• Peter Bonaminio I, BS RPH
• Nancy L Bonnevier, LCPC
• Bridget Borrelli, BCBA
• Bosack Dental LLC
• Linda Brigit Bosack, AUD

• Endocrinology, Diabetes & Metabolism Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.