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ELIJAH HOLBROOK BOLIN M.D.
NPI 1346594470
Pediatrics - Pediatric Cardiology in Little Rock, AR

Active since October 26, 2012PECOS Enrolled
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202(501) 364-1100 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Elijah Holbrook Bolin M.d. NPPES

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

ELIJAH HOLBROOK BOLIN M.D. (NPI 1346594470) is an individual pediatric cardiology provider in Little Rock, Arkansas, licensed in Arkansas (E-8664) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346594470
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameELIJAH HOLBROOK BOLINCredential: M.D.
Location Address1 CHILDRENS WAY # 653Little Rock, AR 72202-3500
Mailing Address1802 Banks Sstreet, Apartment 1Houston, TX 77098 · (865) 384-4905
Phone(501) 364-1100
Sole ProprietorNo
Enumeration DateOctober 26, 2012
Last NPPES UpdateAugust 22, 2016
✔ NPI 1346594470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in AR · E-8664✔ Licensed in TX · N7526
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1 CHILDRENS WAY # 653, Little Rock, AR 72202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elijah Holbrook Bolin M.d. 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.

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.

ADRIENNE MARIE KODER
Orthopaedic Surgery
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
STEPHEN JAMES CANON M.D.
Urology (Pediatric Urology)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
HEATHER LYNN YOUNG MD
Pediatrics (Pediatric Infectious Diseases)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MRS. GLENDA MARIE ECKERT APN
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
AMBRE' LACHELLE POWNALL APN, PNP-BC
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
ANITA JEAN BUELL-SANDERS
Nurse Practitioner (Acute Care)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-3620
VIKAS CHOWDHARY M.D.
Pediatrics
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
BRITTNEY HARRIS
Pediatrics
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100

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 Elijah Bolin's NPI number?

The NPI number for Elijah Bolin is 1346594470. It was assigned to this individual provider in the NPPES registry on October 26, 2012.

Where is Elijah Bolin located?

Elijah Bolin practices at 1 Childrens Way # 653, Little Rock, AR 72202. The listed phone number is (501) 364-1100.

What is Elijah Bolin's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Elijah Bolin enrolled in Medicare?

Yes. Elijah Bolin is registered in the Medicare PECOS enrollment system.

What insurance does Elijah Bolin accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Elijah Bolin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elijah Bolin was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.