MADHAV BOLE MD
NPI 1104506880
Family Medicine in New York, NY
About Madhav Bole Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADHAV BOLE MD (NPI 1104506880) is an individual family medicine provider in New York, New York, licensed in New York (324454) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Madhav Bole Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Madhav Bole reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10453
- Reassigned Medicare billing, New York enrollment
- 1,393 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- 1,054 clinicians in this Medicare group
Bronx, NY 10461
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Bronx Medical Practice PC
- 1,013 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10029
NEW YORK, NY 10029
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 Madhav Bole's NPI number?
The NPI number for Madhav Bole is 1104506880. It was assigned to this individual provider in the NPPES registry on July 19, 2023.
Where is Madhav Bole located?
Madhav Bole practices at 1249 5th Ave, New York, NY 10029. The listed phone number is (212) 360-1000.
What is Madhav Bole's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Madhav Bole enrolled in Medicare?
Yes. Madhav Bole is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Madhav Bole's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madhav Bole reassigns Medicare benefits to 3 organizations: Essen Medical Associates, PC (Bronx, NY), House Call Medical Services Of New York, PLLC (Bronx, NY) and Bronx Medical Practice P.C. (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madhav Bole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Madhav Bole was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Madhav Bole, MD · NPI 1104506880
Family Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 19, 2023.
## Identity
- **NPI:** 1104506880 (Entity type: Individual)
- **Enumerated:** July 19, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 324454 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1249 5TH AVE, New York, NY 10029-4413
- **Phone:** (212) 360-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Essen Medical Associates, PC (NPI 1366418709, Bronx, NY); House Call Medical Services Of New York, PLLC (NPI 1851345946, Bronx, NY); Bronx Medical Practice P.C. (NPI 1356726087, Bronx, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 11, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1104506880) · Data from the CMS NPPES public registry.