| David Dmitry Boltan, MD | |
|
1901 N Macarthur Blvd, Irving, TX 75061-2220 | |
| (972) 579-8485 | |
| Not Available |
| Full Name | David Dmitry Boltan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 21 Years |
| Location | 1901 N Macarthur Blvd, Irving, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447468624 | NPI | - | NPPES |
| 8X0058 | Other | TX | BCBS |
| 200691801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | M8543 (Texas) | Secondary |
| 207R00000X | Internal Medicine | M8543 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Central Texas | Killeen, TX | Hospital |
| Ascension Seton Medical Center Austin | Austin, TX | Hospital |
| Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of Texas Pllc | 3476688318 | 603 |
| Usacs Integrated Acute Care Services Of Texas, Pllc | 7618237264 | 286 |
| Hospitalist Medicine Physicians Of Texas Pllc | 3476688318 | 603 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Entity Name | Cogent Healthcare Of Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20061121000364 |
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021 |
| Entity Name | Jason Martin Medical Consulting Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851736243 PECOS PAC ID: 8325289812 Enrollment ID: O20130725000633 |
| Entity Name | Ipc Healthcare Services Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023403011 PECOS PAC ID: 3971824939 Enrollment ID: O20150603001409 |
| Entity Name | Usacs Integrated Acute Care Services Of Texas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801300322 PECOS PAC ID: 7618237264 Enrollment ID: O20180131000478 |
| Entity Name | Pai Participant 9 Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679135420 PECOS PAC ID: 7113254277 Enrollment ID: O20190812003650 |
| Mailing Address | Practice Location Address |
|---|---|
| David Dmitry Boltan, MD 1901 N Macarthur Blvd, Irving, TX 75061-2220 Ph: (972) 579-8485 | David Dmitry Boltan, MD 1901 N Macarthur Blvd, Irving, TX 75061-2220 Ph: (972) 579-8485 |
Dr. Padmavathy Uppalapati, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Cottonwood Ln, Suite 105, Irving, TX 75038 Phone: 972-607-2525 Fax: 972-252-8837 | |
Rupal Chiniwala, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 6750 N Macarthur Blvd, Suite 150, Irving, TX 75039 Phone: 972-373-0303 Fax: 972-373-8074 | |
Dr. Harikrishna Raja, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 Kinwest Pkwy Ste 200, Irving, TX 75063 Phone: 214-377-9648 Fax: 214-975-1603 | |
Dr. Deepika Alavala Reddy, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1901 N Macarthur Blvd, Irving, TX 75061 Phone: 972-579-8100 Fax: 972-579-3972 | |
Mrs. Devyani V Deshpande, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7200 N State Hwy 161, Suite 220, Irving, TX 75039 Phone: 214-689-7806 Fax: 214-689-5970 | |
Dr. Sarju Waghela, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 N Macarthur Blvd, #630, Irving, TX 75061 Phone: 972-256-3537 Fax: 972-255-7916 | |
Nauman Siddiqi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Cottonwood Ln, # 105, Irving, TX 75038 Phone: 972-607-2525 |