DAVID DMITRY BOLTAN M.D.
NPI 1447468624
Internal Medicine in Irving, TX
About David Dmitry Boltan M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID DMITRY BOLTAN M.D. (NPI 1447468624) is an individual internal medicine provider in Irving, Texas, licensed in Texas (M8543) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ada, and is a graduate of Northeastern Ohio University College Of Medicine (2005).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
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
David Dmitry Boltan 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.
Medicare Billing Reassignments
11Medicare enrollment records show David Boltan reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75246
- Reassigned Medicare billing, Texas enrollment
- 3,167 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 1,208 clinicians in this Medicare group
Cedar Park, TX 78613
- Reassigned Medicare billing, Texas enrollment
- 828 clinicians in this Medicare group
Austin, TX 78738
- Reassigned Medicare billing, Texas enrollment
- 75 clinicians in this Medicare group
Austin, TX 78738
- Reassigned Medicare billing, Texas enrollment
- 111 clinicians in this Medicare group
Oklahoma City, OK 73120
- Reassigned Medicare billing, Oklahoma enrollment
- 975 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Oklahoma and Texas enrollments
- 284 clinicians in this Medicare group
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 300 clinicians in this Medicare group
San Antonio, TX 78216
- Reassigned Medicare billing, Texas enrollment
- 688 clinicians in this Medicare group
Grove, OK 74344
- Reassigned Medicare billing, Oklahoma enrollment
- 95 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 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Ada
Acute Care Hospitals · Ada, OKAdventhealth Central Texas
Acute Care Hospitals · Killeen, TXTexas Health Huguley Hospital Fort Worth South
Acute Care Hospitals · Burleson, TXAdventhealth Rollins Brook
Critical Access Hospitals · Lampasas, TXSeton Medical Center Harker Heights
Acute Care Hospitals · Harker Heights, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75061 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
IRVING, TX 75061
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 David Boltan's NPI number?
The NPI number for David Boltan is 1447468624. It was assigned to this individual provider in the NPPES registry on May 19, 2007.
Where is David Boltan located?
David Boltan practices at 1901 N Macarthur Blvd, Irving, TX 75061. The listed phone number is (972) 579-8485.
What is David Boltan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is David Boltan enrolled in Medicare?
Yes. David Boltan 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 David Boltan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Boltan reassigns Medicare benefits to 11 organizations: Healthtexas Provider Network (Dallas, TX), Cogent Healthcare Of Texas, PA (Dallas, TX), Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX), Aco Jason Martin Medical Consulting (Austin, TX), Jason Martin Medical Consulting LLC (Austin, TX) and 6 more organizations, listed in the Medicare section above. 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 David Boltan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Boltan accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list David Boltan 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.
Is David Boltan affiliated with any hospitals?
According to CMS data, David Boltan is affiliated with Mercy Hospital Ada, Adventhealth Central Texas, Texas Health Huguley Hospital Fort Worth South, Adventhealth Rollins Brook and Seton Medical Center Harker Heights.
When was this NPI record last updated?
The NPPES record for David Boltan was last updated on April 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# David Dmitry Boltan, M.D. · NPI 1447468624
Internal Medicine physician in Irving, Texas. Individual provider, active in the CMS NPPES registry since May 19, 2007.
## Identity
- **NPI:** 1447468624 (Entity type: Individual)
- **Enumerated:** May 19, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** M8543 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1901 N MACARTHUR BLVD, Irving, TX 75061-2220
- **Phone:** (972) 579-8485
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Healthtexas Provider Network (NPI 1174416689, Dallas, TX); Cogent Healthcare Of Texas, PA (NPI 1992722953, Dallas, TX); Usacs Integrated Acute Care Services Of Texas, PLLC (NPI 1801300322, Cedar Park, TX); Aco Jason Martin Medical Consulting (NPI 1881578961, Austin, TX); Jason Martin Medical Consulting LLC (NPI 1851736243, Austin, TX); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 2005
## Record status
- **NPPES last updated:** April 2, 2010
- **Other identifiers:** Medicare PIN P00696093 (TX); Medicaid 200691801 (TX); Medicare PIN 8K7118 (TX); and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1447468624) · Data from the CMS NPPES public registry.