Maria Bolla, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2500 Issued in MA

Practice address

264 Beacon St Ste 201
Boston, MA 02116-1294

Phone

(617) 262-2266

Fax

(617) 262-2261

NPI assigned

Mar 27, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Pratt Orthopaedic Associates IncGroup PAC ID 7618295437, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tufts Medical Center Hospital, Boston, MA, CCN 220116
• Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13518/brand/1/csg/1/fhir/r4

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.

• Pratt Orthopaedic Associates, Inc

  • Orthopaedic Surgery Physician
  • Boston, MA
  • NPI 1528107380

  MA

  Medicare reassignment Care Compare group NPD
• Auburn Podiatry LLP

  • Podiatrist
  • Auburn, MA
  • NPI 1104933209

  MA, Podiatrist

  Medicare reassignment NPD
• Boston Common Podiatry Inc

  • Podiatrist
  • Boston, MA
  • NPI 1982651733

  MA, Podiatrist

  Medicare reassignment NPD
• James J Diresta DPM PLLC

  • Podiatrist
  • Newburyport, MA
  • NPI 1366707069

  MA, Podiatrist

  Medicare reassignment NPD
• Boston University General Surgical Associates, Inc. - Podiatry

  • Surgery Physician
  • Boston, MA
  • NPI 1730361197
  NPD (past)

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

• Melrosewakefield Healthcare, Inc.

  • General Acute Care Hospital
  • Medford, MA
  • NPI 1841290467

  Hospital

  Care Compare affiliation
• Tufts Medical Center, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1730132515

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1992236244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 BEACON ST STE 201",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161294",
            "telephone_number": "617-262-2266",
            "fax_number": "617-262-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BEACON ST STE 201",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161294",
            "telephone_number": "617-262-2266",
            "fax_number": "617-262-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLA",
        "first_name": "MARIA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "2500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill T Bolduc, CPNP-PC
• Lady-Thelma W Bolduc, NP
• Marc Gilbert Bolduc, LICSW, CADC II, CGP
• Sarah M Bolduc
• Tyson Paul Bolinske
• Linda M Bolle, PSY.D.
• Aimee L Bollentin, N.P
• Ana Maria Bolling Cruz, LICSW
• Natasha Bolotinsky, M.D.
• Meena Bolourchi, M.D.

• All providers in Boston, MA
• Podiatrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.