OLENA BOLOTOVA M.D. NPI 1417300732

NPI Information

  • NPI: 1417300732
  • Provider Name: OLENA BOLOTOVA, M.D.
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 260 PATCHOGUE YAPHANK RD
    EAST PATCHOGUE, NY
    ZIP 11772
  • Phone: (631) 654-8755

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NPI Details

Olena Bolotova, M.D. is a nephrology internal medicine in East Patchogue, NY with 14 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. Olena Bolotova, M.D. NPI is 1417300732. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

260 PATCHOGUE YAPHANK RD
EAST PATCHOGUE, NY
ZIP 11772-886
Phone: (631) 654-8755

The NPI 1417300732 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Hemodialysis procedure requiring repeated evaluation (HCPCS:90937)
  • Dialysis services, 4 or more physician visits per month (20 years or older) (HCPCS:90960)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Dialysis services, 2-3 physician visits per month (20 years or older) (HCPCS:90961)

The enumeration date for this NPI number is 7/21/2016 and was last updated on 8/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2207RN0300XInternal MedicineNephrology311738NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A400268620OTHERNEW YORKMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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