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

Active since October 26, 2012PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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 and is a graduate of Other (2007).

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
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elijah Holbrook Bolin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789803503
PECOS Enrollment IDI20140910000162
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Elijah Bolin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
1 CHILDRENS WAY # 653
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1467528026 (Arkansas)
  • 1,246 clinicians in this Medicare group
Pediatrics
1 CHILDRENS WAY
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 653 clinicians in this Medicare group
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 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.

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.

Orthopaedic Surgery
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Urology (Pediatric Urology)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pediatrics (Pediatric Infectious Diseases)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Nurse Practitioner (Acute Care)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pediatrics
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elijah Bolin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elijah Bolin reassigns Medicare benefits to 3 organizations: University Of Arkansas For Medical Sciences (Little Rock, AR), Arkansas Childrens Professional Services Organization LLC (Little Rock, AR) and Arkansas Childrens Hospital (Little Rock, AR). 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 Elijah Bolin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elijah Bolin accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave 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.