DR. ADINA ALEXANDRA BODOLAN (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1457715443

DR. ADINA ALEXANDRA BODOLAN (M.D.) is a healthcare provider. based in Burlington, Vermont. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. A173236 (CA). The NPI Number for DR. ADINA ALEXANDRA BODOLAN (M.D.) is 1457715443

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. ADINA ALEXANDRA BODOLAN (M.D.)
NPI
1457715443
Phone
(305) 978-8637
Address
14 BACON ST STE 303
Enumeration Date
6 April 2016
Last Update Date
21 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9165375275
Graduation Year
2016 (10 years ago)
PAC ID
1153616628
Group Practice PAC ID
8325087034
Professional Enrollment ID
I20210729001037
Address ID
CA956080306CA6501XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:10State licenses:2Digital endpointsOther names

79 PATHOLOGY in VT

Provider Addresses for DR. ADINA ALEXANDRA BODOLAN (M.D.)

  • 14 BACON ST STE 303

    BURLINGTON, VT 054016104

    Phone: (305) 978-8637

    Type: Mailing

  • 111 COLCHESTER AVE

    BURLINGTON, VT 054011473

    Phone: (802) 847-2700

    Type: Location

  • 6501 COYLE AVENUE

    CARMICHAEL, CA 95608

    Phone: (916) 860-4460

    Type: Location

  • PO BOX 340850

    SACRAMENTO, CA 958340850

    Phone: (916) 860-4460

    Type: Mailing

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 $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Cepheid ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Cepheid$19
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: 2021-07-29

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
I20210729001037IPathologyCATBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity745478$0
88341Special stained specimen slides to examine tissue, each additional procedure482147$0
88342Special stained specimen slides to examine tissue, initial procedure183176$0
88311Preparation of tissue for examination by removing any calcium present166139$0
88307Pathology examination of tissue using a microscope, moderately high complexity14689$0
View full utilization report →

Insurance plans in this area (ZIP 05401)

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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: 8325087034View full group profile
NameSpecialtyState
P A T H O L O G YCA
P A T H O L O G YCA
P A T H O L O G YCA
-GA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ADINA ALEXANDRA BODOLAN (M.D.)?
NPI 1457715443 is assigned to DR. ADINA ALEXANDRA BODOLAN (M.D.) under the national enumeration system.
Is DR. ADINA ALEXANDRA BODOLAN (M.D.) currently active in the NPI registry?
CMS-published data lists DR. ADINA ALEXANDRA BODOLAN (M.D.) as an active registrant.
What does DR. ADINA ALEXANDRA BODOLAN (M.D.) treat or focus on?
Patients typically see DR. ADINA ALEXANDRA BODOLAN (M.D.) under the specialty Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Does DR. ADINA ALEXANDRA BODOLAN (M.D.) practice in Vermont?
You will see Burlington, Vermont on file for DR. ADINA ALEXANDRA BODOLAN (M.D.) alongside any extra practice locations.
How can I contact DR. ADINA ALEXANDRA BODOLAN (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.