1. Home
  2. Directory
  3. Indiana
  4. Mishawaka
  5. Radiology
  6. NPI Profile

DANIEL A BOLL MD
NPI 1487648184
Radiology - Diagnostic Radiology in Mishawaka, IN

Active since September 08, 2005
620 W EDISON RD, SUITE 110, MISHAWAKA, IN 46545(574) 258-1100(574) 258-1101 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Daniel A Boll Md NPPES

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

DANIEL A BOLL MD (NPI 1487648184) is an individual diagnostic radiology provider in Mishawaka, Indiana, licensed in Indiana (01035496) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1487648184
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDANIEL A BOLLCredential: MD
Location Address620 W EDISON RD, SUITE 110Mishawaka, IN 46545-2784
Mailing Address620 W Edison Rd, Suite 110Mishawaka, IN 46545-2784 · (574) 258-1100 · Fax (574) 258-1101
Phone(574) 258-1100
Fax(574) 258-1101
Sole ProprietorNo
Enumeration DateSeptember 8, 2005
Last NPPES UpdateMay 2, 2013
✔ NPI 1487648184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IN · 01035496
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 01035496 (IN)
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 01035496 (IN)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License 01035496 (IN)
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License 01035496 (IN)
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License 01035496 (IN)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 01035496 (IN)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 01035496 (IN)
620 W EDISON RD, Mishawaka, IN 46545
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN728230TIN
Medicaid200001800IN
Medicare UPINE47568

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.

SAMIR B PATEL MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
JAMES C FIELD MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (547) 258-1100
MARK J ORMSON MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
JOHN C HILL DO
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
MARY C DYNES MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
FRANCOISE M DION MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
CHRISTINE MARSCH O'MALLEY MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100
KATRINA T VANDERVEEN MD
Radiology (Diagnostic Radiology)
620 W EDISON RD, SUITE 110
MISHAWAKA, IN 46545
St. Joseph County (574) 258-1100

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 Daniel Boll's NPI number?

The NPI number for Daniel Boll is 1487648184. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Where is Daniel Boll located?

Daniel Boll practices at 620 W Edison Rd Suite 110, Mishawaka, IN 46545. The listed phone number is (574) 258-1100.

What is Daniel Boll's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Daniel Boll was last updated on May 2, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.