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JACOB C BOLYARD DO
NPI 1891323341
Anesthesiology in Cleveland, OH

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 6, 2025, Jun 13, 2024, Jun 13, 2020 and 1 more (4 updates tracked since 2020).

About Jacob C Bolyard Do NPPES

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

JACOB C BOLYARD DO (NPI 1891323341) is an individual anesthesiology provider in Cleveland, Ohio, licensed in Illinois (125076677) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and maintains a secondary practice location in Winfield.

NPPES Registry Identity

NPI1891323341
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameJACOB C BOLYARDCredential: DO
Location AddressCLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24Cleveland, OH 44195-3328
Mailing Address3262 Waverly Woods LnHowell, MI 48843-9587 · (517) 375-5263
Phone(216) 444-2200
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 31, 2020
Last NPPES UpdateAugust 6, 20254 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1891323341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in IL · 125076677✔ Licensed in IL · 036161977
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24, Cleveland, OH 44195
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Secondary Practice Location 1

Location 125 N Winfield RdWinfield, IL 60190-1379 · Phone (630) 933-6675 · Fax (630) 933-2614

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

Jacob C Bolyard Do 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 ID749728293
PECOS Enrollment IDI20250819000106
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 Jacob Bolyard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwestern Medical Faculty Foundation
345 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

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.

MEGAN KATE WASSON
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
SERENE AHMAD MD
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
ELIZABETH EVERETT STANLEY
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
SHAO-WEI LO
Internal Medicine
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (904) 207-4684
DIEGO RAMONFAUR
Internal Medicine
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (667) 202-1848
DIANA ARIAS DO
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
MARIA ALQAMISH MD
Student in an Organized Health Care Education/Training Program
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200
DR. JOSE CARLOS FERNANDEZ MD
Internal Medicine
CLEVELAND CLINIC 9500 EUCLID AVENUE/JJ24
CLEVELAND, OH 44195
Cuyahoga County (216) 444-2200

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 Jacob Bolyard's NPI number?

The NPI number for Jacob Bolyard is 1891323341. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Jacob Bolyard located?

Jacob Bolyard practices at Cleveland Clinic 9500 Euclid Avenue/Jj24, Cleveland, OH 44195. The listed phone number is (216) 444-2200.

What is Jacob Bolyard's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jacob Bolyard enrolled in Medicare?

Yes. Jacob Bolyard 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 organization bills Medicare for Jacob Bolyard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Bolyard reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, IL). 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 Jacob Bolyard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jacob Bolyard affiliated with any hospitals?

According to CMS data, Jacob Bolyard is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Bolyard was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.