DR. CARLOS RHASHAD BOLDEN (M.D.) – Obstetrics & Gynecology Physician, NPI 1386818599
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
966 OBSTETRICS/GYNECOLOGY in IN
Provider Addresses for DR. CARLOS RHASHAD BOLDEN (M.D.)
11725 Illinois St
Carmel, IN 460323008
Phone: (317) 688-5200
Type: Location
615 N MICHIGAN ST
SOUTH BEND, IN 466011087
Phone: (574) 647-6978
Type: Location
14950, Edwardsburg Highway, Granger, Saint Joseph County, Indiana, 46530, United States
GRANGER, IN 465307564
Phone: (574) 243-2221
Fax: (574) 237-1784
Type: Mailing
714 N Michigan St
South Bend, IN 466011035
Phone: (574) 647-7477
Fax: (574) 647-3655
Type: Location
621 Memorial Dr Ste 403
South Bend, IN 466011074
Phone: (574) 647-1405
Fax: (574) 647-3970
Type: Location
18091 ABINGTON CT
SOUTH BEND, IN 466376059
Phone: (870) 329-0829
Type: Mailing
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-08-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120807000816 | I | Obstetrics/Gynecology | IN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| General Surgery | IN | |
| - | IN |
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