DAVID WARREN BOLDT (M.D.) – Anesthesiology Physician, NPI 1124223565

DAVID WARREN BOLDT (M.D.) is a healthcare provider. based in Los angeles, California. specializing in ANESTHESIOLOGY, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. 1124223565 (CA). The NPI Number for DAVID WARREN BOLDT (M.D.) is 1124223565

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DAVID WARREN BOLDT (M.D.)
NPI
1124223565
Phone
Not provided
Address
5767 W CENTURY BLVD
Enumeration Date
16 June 2007
Last Update Date
23 December 2019

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
3107941841
Graduation Year
2005 (21 years ago)
PAC ID
9931379203
Group Practice PAC ID
8527971316
Professional Enrollment ID
I20110823000918
Address ID
CA904041235SA1245XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:18State licenses:2Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

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Provider Addresses for DAVID WARREN BOLDT (M.D.)

  • 5767, West Century Boulevard, Westchester, Los Angeles, Los Angeles County, California, 90045, United States

    SUITE 400

    LOS ANGELES, CA 900455631

    Phone:

    Type: Mailing

  • University of California, Los Angeles, Glendon Avenue, Westwood Village, Westwood, Los Angeles, Los Angeles County, California, 90024-3990, United States

    LOS ANGELES, CA 900950001

    Phone: (310) 267-8642

    Fax: (310) 267-3899

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $59,567.

Total Amount is formed as General ($59,567) + Research ($0) + Ownership ($0) = $59,567.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: La Jolla Pharmaceutical Company ($59,538).

Total Amount

$59,567

General + Research + Ownership

Payments

31

Total payment records

General Amount

$59,567

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110823000918IAnesthesiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes11942$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4824$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2712$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 90045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527971316View full group profile
NameSpecialtyState
-CA
A N E S T H E S I O L O G YCA
-CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)CA
-CA
-CA

Reviews

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Frequently asked questions

Can I use this page to confirm DAVID WARREN BOLDT (M.D.)'s NPI?
Yes. DAVID WARREN BOLDT (M.D.) is listed with NPI 1124223565 in the public NPI dataset.
Does CMS list DAVID WARREN BOLDT (M.D.) as active?
Yes — DAVID WARREN BOLDT (M.D.) is active in the NPI listing used on this page.
What is DAVID WARREN BOLDT (M.D.)'s primary classification?
Anesthesiology Physician is the headline specialty for DAVID WARREN BOLDT (M.D.) here. Clinical services aligned with this taxonomy classification.
Does DAVID WARREN BOLDT (M.D.) list a practice location?
Patients near Los Angeles, California may find DAVID WARREN BOLDT (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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