MR. EDGAR HOWARD III BOLES (CRNA) – Certified Registered Nurse Anesthetist, NPI 1770956690

MR. EDGAR HOWARD III BOLES (CRNA) is a healthcare provider. based in Chicago, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 209013610 (IL). The NPI Number for MR. EDGAR HOWARD III BOLES (CRNA) is 1770956690

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. EDGAR HOWARD III BOLES (CRNA)
NPI
1770956690
Phone
Not provided
Address
503 N PEORIA ST
Enumeration Date
2 November 2015
Last Update Date
22 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3175049628
Graduation Year
2015 (11 years ago)
PAC ID
4082915897
Group Practice PAC ID
4981098589
Professional Enrollment ID
I20151221002672
Address ID
IL606577227CH331XXSTXX471
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:10State licenses:3Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for MR. EDGAR HOWARD III BOLES (CRNA)

  • 503 N PEORIA ST

    CHICAGO, IL 606426543

    Phone:

    Type: Mailing

  • 6225 N STATE HIGHWAY 161 STE 200

    NORTHSTAR ANESTHESIA PA

    IRVING, TX 750382241

    Phone: (214) 687-0001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$23
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: 2024-05-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20151221002672ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20160127000337ICertified Registered Nurse Anesthetist (Crna)INTBD
I20201117001266ICertified Registered Nurse Anesthetist (Crna)MITBD
I20220418001688ICertified Registered Nurse Anesthetist (Crna)NMTBD
I20220906002184ICertified Registered Nurse Anesthetist (Crna)AZTBD
I20240503001829ICertified Registered Nurse Anesthetist (Crna)NCTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope3635$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2625$0
00813Anesthesia for procedure on small and large bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 60642)

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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: 4981098589View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Anesthesiology, Interventional Pain Management, Pain ManagementIL
Certified Registered Nurse Anesthetist (Crna)NY
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIL

Reviews

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Frequently asked questions

What is the registry number for MR. EDGAR HOWARD III BOLES (CRNA)?
The registry entry for MR. EDGAR HOWARD III BOLES (CRNA) shows NPI 1770956690.
Should I treat MR. EDGAR HOWARD III BOLES (CRNA) as an active provider?
Patients and plans typically see MR. EDGAR HOWARD III BOLES (CRNA) as active in the national extract.
What does the directory say MR. EDGAR HOWARD III BOLES (CRNA) does?
Insurance directories may phrase it differently, but here MR. EDGAR HOWARD III BOLES (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to MR. EDGAR HOWARD III BOLES (CRNA)?
The directory associates MR. EDGAR HOWARD III BOLES (CRNA) with Chicago, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains MR. EDGAR HOWARD III BOLES (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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