Individual provider

Olena Bolotova, M.D.

Nephrology Physician Student in an Organized Health Care Education/Training Program Medicare enrolled

Olena Bolotova, M.D. is a Nephrology Physician in East Patchogue, NY, registered under NPI 1417300732. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 260 PATCHOGUE YAPHANK RD, East Patchogue, NY 11772. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

260 PATCHOGUE YAPHANK RD, East Patchogue, NY 11772 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
311738 NY Nephrology Physician primary

This provider holds licence 311738 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nephrology
PAC ID
3779987383
Enrollment ID
I20210804001586

Medicare enrolment is recorded as approved under the provider type Practitioner - Nephrology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Nephrology covers

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NUCC Health Care Provider Taxonomy, code 207RN0300X
Allopathic & Osteopathic Physicians Internal Medicine Nephrology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RN0300X Nephrology Physician Nephrology 311738 NY primary
390200000X Student in an Organized Health Care Education/Training Program

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417300732 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 21, 2016
Last updatedAug 22, 2021
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 260 PATCHOGUE YAPHANK RD
East Patchogue, NY 11772
(631) 654-8755
Mailing address 1216 HARVARD AVE
Yaphank, NY 11980
Other identifiers A400268620 · Other (NY)
The last update on file is Aug 22, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1417300732 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 3 0 0 7 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 6 0 0 7 6

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417300732?
NPI 1417300732 is the National Provider Identifier assigned to Olena Bolotova, M.D. in East Patchogue, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Nephrology cover?
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
How do I contact Olena Bolotova, M.D.?
The phone number on file with NPPES is (631) 654-8755, last updated Aug 22, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Olena Bolotova, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417300732 a valid number?
Yes. 1417300732 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.