ALYSSA J. BOLDUAN – NPI #1336535657
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

ALYSSA BOLDUAN is an otolaryngologist located in GENEVA, IL. NPPES has assigned the NPI number 1336535657 to ALYSSA BOLDUAN on April 13, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 4 years ago on Apr 29, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALYSSA BOLDUAN below.

NPI Profile for
ALYSSA J. BOLDUAN

NPI Number
1336535657
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ALYSSA J. BOLDUAN
Primary location
302 RANDALL RD STE 202
GENEVA, IL 60134-4204
Phone: (630) 938-3900 Fax: (630) 938-3910
1 Other location(s):
3601 The Vanderbilt Clinic
Nashville, TN 37232-3328
Phone: (615) 322-3000
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Apr 29, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Y00000X
- Otolaryngology (Primary)
TN 60967
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
3601 THE VANDERBILT CLINIC,
NASHVILLE, TN 77025-1669

Additional Information

Education
INDIANA UNIVERSITY SCHOOL OF MEDICINE - Graduated 2015
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ALYSSA BOLDUAN is affiliated with the following medical group(s):
  • HOSPITAL
    • CENTRAL DUPAGE HOSPITAL
      25 NORTH WINFIELD ROAD
      WINFIELD, IL 60190
    • DELNOR COMMUNITY HOSPITAL
      300 RANDALL RD
      GENEVA, IL 60134

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