PRAVEEN BOLARUM, MD LLC
NPI 1568685287
Family Medicine - Hospice and Palliative Medicine in Frederick, MD
About Praveen Bolarum, Md Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRAVEEN BOLARUM, MD LLC (NPI 1568685287) is a healthcare organization registered as a hospice and palliative medicine in Frederick, Maryland and active in the NPI registry since April 2007. The organization lists Praveen Kumar Bolarum, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Praveen Bolarum, Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Praveen Bolarum, MD LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Praveen Bolarum, MD LLC's NPI number?
The NPI number for Praveen Bolarum, MD LLC is 1568685287. It was assigned to this organization in the NPPES registry on April 11, 2007.
Where is Praveen Bolarum, MD LLC located?
Praveen Bolarum, MD LLC is located at 196 Thomas Johnson Drive Suite 225, Frederick, MD 21702. The listed phone number is (301) 694-6688.
What is Praveen Bolarum, MD LLC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207QH0002X.
Is Praveen Bolarum, MD LLC enrolled in Medicare?
Yes. Praveen Bolarum, MD LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Praveen Bolarum, MD LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Praveen Bolarum, MD LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (11), Family Practice (1) and Internal Medicine (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Praveen Bolarum, MD LLC was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Praveen Bolarum, Md Llc · NPI 1568685287
Hospice and Palliative Medicine organization in Frederick, Maryland. Organization record, active in the CMS NPPES registry since April 11, 2007.
## Identity
- **NPI:** 1568685287 (Entity type: Organization)
- **Enumerated:** April 11, 2007
- **Primary specialty:** Family Medicine - Hospice and Palliative Medicine · taxonomy 207QH0002X
- **Organization subpart:** No
- **Authorized official:** Praveen Bolarum, PARTNER
## Practice location
- **Address:** 196 THOMAS JOHNSON DRIVE, SUITE 225, Frederick, MD 21702
- **Phone:** (301) 694-6688 · **Fax:** (301) 694-8524
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (1), Internal Medicine (1); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 30, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1568685287) · Data from the CMS NPPES public registry.