Islam Abbas Bolad, MD - Medicare Internal Medicine in Lafayette, IN

Islam Abbas Bolad, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Lafayette, Indiana. His current practice location is 3900 St Francis Way Ste 200, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 775-2800.

Islam Abbas Bolad is licensed to practice in Indiana (license number 01064026A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780746198.

Contact Information

Islam Abbas Bolad, MD
3900 St Francis Way Ste 200,
Lafayette, IN 47905-4940
(765) 775-2800
(765) 775-2831



Physician's Profile

Full NameIslam Abbas Bolad
GenderMale
SpecialityInternal Medicine - Cardiovascular Disease
Location3900 St Francis Way Ste 200, Lafayette, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780746198
  • Provider Enumeration Date: 12/14/2006
  • Last Update Date: 02/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052401437
  • Enrollment ID: I20071221000438

Medical Identifiers

Medical identifiers for Islam Abbas Bolad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780746198NPI-NPPES
200881960MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 01064026A (Indiana)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 016813 (Maine)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 01064026A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Islam Abbas Bolad allows following entities to bill medicare on his behalf.
Entity NameUniversity Medical Diagnostic Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861441537
PECOS PAC ID: 3375446347
Enrollment ID: O20040202000510

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Entity NameFranciscan Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225327984
PECOS PAC ID: 3072790682
Enrollment ID: O20110608000486

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Islam Abbas Bolad is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Islam Abbas Bolad, MD
Po Box 781076,
Detroit, MI 48278-1076

Ph: (317) 528-4800
Islam Abbas Bolad, MD
3900 St Francis Way Ste 200,
Lafayette, IN 47905-4940

Ph: (765) 775-2800

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› Verified 3 days ago


Internal Medicine Doctors in Lafayette, IN

Michelle B Herberts, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Greenbush St, Lafayette, IN 47904
Phone: 765-448-8000    Fax: 765-448-8564
Dr. Carlos Salazar Carcamo, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Greenbush St, Lafayette, IN 47904
Phone: 765-448-8000    Fax: 765-583-2444
Maria L Srour, MD
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905
Phone: 765-448-8000    Fax: 765-448-7631
Steven Rudolf Steinhubl, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905
Phone: 765-448-8000    Fax: 765-838-4333
Michael Leo Hogan, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3900 St Francis Way Ste 200, Lafayette, IN 47905
Phone: 765-775-2800    Fax: 765-775-2831
Carlos A Gambirazio, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Greenbush St, Lafayette, IN 47904
Phone: 765-448-8000    Fax: 765-448-7624
Dr. Christopher Patrick Kaup, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2600 Ferry St, Lafayette, IN 47904
Phone: 765-448-8000    Fax: 765-838-4698

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