DR. JEFFREY BOLSTRIDGE D.O.
NPI 1659767366
Pediatrics - Pediatric Critical Care Medicine in Bethesda, MD

Q: What is Jeffrey Bolstridge's NPI number?

The NPI number for Jeffrey Bolstridge is 1659767366. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Q: What is Jeffrey Bolstridge's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since April 09, 2015PECOS Enrolled

8901 WISCONSIN AVE DEPARTMENT OF PEDIATRICS, BETHESDA, MD 20889(301) 319-2391 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Jeffrey Bolstridge D.o. NPPES

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

DR. JEFFREY BOLSTRIDGE D.O. (NPI 1659767366) is an individual pediatric critical care medicine provider in Bethesda, Maryland, licensed in Virginia (102204710) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659767366

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. JEFFREY BOLSTRIDGECredential: D.O.

Location Address8901 WISCONSIN AVE DEPARTMENT OF PEDIATRICSBethesda, MD 20889-4504

Mailing Address8901 Wisconsin Ave Department Of PediatricsBethesda, MD 20889-0001

Phone(301) 319-2391

Sole ProprietorNo

Enumeration DateApril 9, 2015

Last NPPES UpdateJanuary 30, 2025

NPPES CertifiedJanuary 30, 2025

✔ NPI 1659767366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in VA · 102204710

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 102204710 (VA)

8901 WISCONSIN AVE DEPARTMENT OF PEDIATRICS, Bethesda, MD 20889

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey Bolstridge D.o. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Bolstridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Maryland Pediatric Associates, PA

33 mi

Clinical Medical Laboratory

120 SOUTH PENN STREET
Baltimore, MD 21201

Reassigned Medicare billing, Maryland enrollment
172 clinicians in this Medicare group

NPI 1679685804 (410) 706-5181

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 Jeffrey Bolstridge's NPI number?

The NPI number for Jeffrey Bolstridge is 1659767366. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Jeffrey Bolstridge located?

Jeffrey Bolstridge practices at 8901 Wisconsin Ave Department Of Pediatrics, Bethesda, MD 20889. The listed phone number is (301) 319-2391.

What is Jeffrey Bolstridge's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jeffrey Bolstridge enrolled in Medicare?

Yes. Jeffrey Bolstridge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Bolstridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Bolstridge reassigns Medicare benefits to University Of Maryland Pediatric Associates, PA (Baltimore, MD). The 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 Jeffrey Bolstridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Bolstridge was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.