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RAMANDEEP KAUR BOLLA MD
NPI 1053874883
Student in an Organized Health Care Education/Training Program in Charleston, WV

Active since April 09, 2019PECOS Enrolled
3200 MACCORKLE AVENUE SE, 5TH FLOOR ROBERT C. BYRD CLINICAL TEACHING CENTER, CHARLESTON, WV 25304(304) 388-4600(304) 388-4621 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2019, Apr 9, 2019 (2 updates tracked since 2019).

About Ramandeep Kaur Bolla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAMANDEEP KAUR BOLLA MD (NPI 1053874883) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053874883
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRAMANDEEP KAUR BOLLACredential: MD
Location Address3200 MACCORKLE AVENUE SE, 5TH FLOOR ROBERT C. BYRD CLINICAL TEACHING CENTERCharleston, WV 25304
Mailing Address3200 Maccorkle Avenue Se, 5th Floor Robert C. Byrd Clinical Teaching CenterCharleston, WV 25304 · (304) 388-4600 · Fax (304) 388-4621
Phone(304) 388-4600
Fax(304) 388-4621
Sole ProprietorNo
Enumeration DateApril 9, 2019
Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration
✔ NPI 1053874883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3200 MACCORKLE AVENUE SE, Charleston, WV 25304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ramandeep Kaur Bolla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims34 services$5.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. OSCAR CINCO ESTALILLA MD
Pathology (Anatomic Pathology & Clinical Pathology)
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT
CHARLESTON, WV 25304
Kanawha County (304) 388-5550
WILLIAM M. OSCANYAN D.D.S.
Dentist
3200 MACCORKLE AVENUE SE, CAMC DENTAL CENTER
CHARLESTON, WV 25304
Kanawha County (304) 388-9335
DAVID A. HANSEN MD
Pathology (Anatomic Pathology & Clinical Pathology)
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT
CHARLESTON, WV 25304
Kanawha County (304) 388-5550
MRS. LINDA L BOOTH FNP-BC
Nurse Practitioner (Family)
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
DR. M. BASHAR SHAALAN MD
Hospitalist
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
DR. DARLENE Y. GRUETTER MD
Pathology (Anatomic Pathology & Clinical Pathology)
3200 MACCORKLE AVENUE SE, PATHOLOGY DEPARTMENT
CHARLESTON, WV 25304
Kanawha County (304) 388-5550
DR. ADNAN M. NAHLA MD
Hospitalist
3200 MACCORKLE AVENUE SE, HOSPITALIST PROGRAM
CHARLESTON, WV 25304
Kanawha County (304) 388-5848
SANDRA Y ELLIOTT MD
Internal Medicine (Infectious Disease)
3200 MACCORKLE AVENUE SE, CAMC OUTPATIENT CLINICS
CHARLESTON, WV 25304
Kanawha County (304) 388-5590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ramandeep Bolla's NPI number?

The NPI number for Ramandeep Bolla is 1053874883. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Ramandeep Bolla located?

Ramandeep Bolla practices at 3200 Maccorkle Avenue SE 5th Floor Robert C. Byrd Clinical Teaching Center, Charleston, WV 25304. The listed phone number is (304) 388-4600.

What is Ramandeep Bolla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ramandeep Bolla enrolled in Medicare?

Yes. Ramandeep Bolla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ramandeep Bolla was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.