DOLLY BONDARIAN (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1679583504

DOLLY BONDARIAN (M.D.) is a healthcare provider. based in Dearborn, Michigan. specializing in Critical Care Medicine (Internal Medicine) Physician. They hold the professional credentials M.D.. They hold a License No. 4301050670 (MI). The NPI Number for DOLLY BONDARIAN (M.D.) is 1679583504

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
DOLLY BONDARIAN (M.D.)
NPI
1679583504
Phone
(313) 563-3332
Address
3200 GREENFIELD RD
Enumeration Date
9 August 2006
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3132715565210
Graduation Year
1985 (41 years ago)
PAC ID
0042233611
Group Practice PAC ID
4789607557
Professional Enrollment ID
I20060120000474
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DOLLY BONDARIAN (M.D.)

  • Greenfield Road, Dearborn, Wayne County, Michigan, 28228, United States

    SUITE 250

    DEARBORN, MI 481201800

    Phone: (313) 563-3332

    Fax: (313) 563-3342

    Type: Mailing

  • 2723 S STATE ST STE 150

    ANN ARBOR, MI 481046188

    Phone: (734) 316-7880

    Fax: (888) 837-9061

    Type: Mailing

  • 18181, Oakwood Boulevard, Dearborn, Wayne County, Michigan, 48124, United States

    STE 208

    DEARBORN, MI 481245032

    Phone: (313) 271-5565

    Fax: (313) 271-1053

    Type: Location

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: 2006-01-20

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
I20060120000474ICritical Care (Intensivists)MITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48120)

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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: 4789607557View full group profile
NameSpecialtyState
Emergency MedicineMI
Critical Care (Intensivists), Pulmonary DiseaseMI
Critical Care (Intensivists)MI
Critical Care (Intensivists), Pulmonary DiseaseMI
Critical Care (Intensivists), Internal MedicineMI
Critical Care (Intensivists), Pulmonary Disease, Sleep MedicineMI
-CO
Critical Care (Intensivists), Pulmonary Disease, Sleep MedicineMI
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep MedicineMI

Reviews

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Frequently asked questions

Can I verify DOLLY BONDARIAN (M.D.) with an NPI only?
You can start verification with NPI 1679583504 for DOLLY BONDARIAN (M.D.), then check state licensing separately.
Does the file indicate DOLLY BONDARIAN (M.D.) is practicing under active NPI?
Directory data currently reports DOLLY BONDARIAN (M.D.) as active.
What taxonomy line describes DOLLY BONDARIAN (M.D.)?
For research purposes, treat DOLLY BONDARIAN (M.D.) as Critical Care Medicine (Internal Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DOLLY BONDARIAN (M.D.)?
DOLLY BONDARIAN (M.D.)'s geographic hint is Dearborn, Michigan in our summary view.
Why does DOLLY BONDARIAN (M.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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