DR. PETER R. BOLOS (M.D.) – Diagnostic Radiology Physician, NPI 1457523987
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2023-04-20. Reason: Felony conviction relating to health care fraud (mandatory; min. 5 years).
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. PETER R. BOLOS (M.D.)
1208, Merry Water Drive, Lutz, Hillsborough County, Florida, 33548, United States
LUTZ, FL 335484807
Phone: (813) 477-9979
Fax: (888) 688-1659
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33548)
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