Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bolivar Contreras Mora, MD

Individual provider Internal Medicine Physician · NPI 1205217734

Bolivar Contreras Mora, MD is an Internal Medicine in Washington, District of Columbia. Qualified in 2011, 15 years ago. Practices with Hisey Physician Services, LLC, a 57-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1150 Varnum St NE
Washington, DC 20017-2104
Phone: (202) 269-7747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 2400 Miami Valley Dr, Centerville, OH 45459-4774 — (937) 208-8394
  • 1 Wyoming St Ste Se3100b, Dayton, OH 45409-2722 — (937) 208-8394
  • 9000 N Main St, Englewood, OH 45415-1180 — (937) 208-8394
  • 1 Medical Center Dr, Middletown, OH 45005-2584 — (513) 974-2111
  • 3130 N County Road 25a, Troy, OH 45373-1337 — (937) 440-4466

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 35.133046 (OH)

Record details

NPI number1205217734
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2015
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Hisey Physician Services, Llc — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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