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LUIS BOLANOS DO
NPI 1023647666
Student in an Organized Health Care Education/Training Program in Burlington, VT

Active since April 06, 2020PECOS Enrolled
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-0000 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 5, 2023, Apr 6, 2020 (2 updates tracked since 2020).

About Luis Bolanos Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUIS BOLANOS DO (NPI 1023647666) is an individual student in an organized health care education/training program in Burlington, Vermont and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023647666
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLUIS BOLANOSCredential: DO
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-0000
Phone(802) 847-0000
Sole ProprietorYes
Enumeration DateApril 6, 2020
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1023647666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 COLCHESTER AVE, Burlington, VT 05401
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis Bolanos Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELENA KOZAKEWICH
Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Chittenden County (802) 847-2700
RICHARD BOHLING CAROZZA MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-4589
ANDREW HUY NGUYEN MD
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
DR. KELLY CURTIS BLANCHET MD
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
LINDSAY ANNE CALDARONE MD
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
SHAWN LANSING
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
HANNA S LOVING PHD
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-5121
KAITLYN MARIE DILLON DNP, APRN, FNP-C
Registered Nurse (Medical-Surgical)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Luis Bolanos's NPI number?

The NPI number for Luis Bolanos is 1023647666. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Luis Bolanos located?

Luis Bolanos practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-0000.

What is Luis Bolanos's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Luis Bolanos enrolled in Medicare?

Yes. Luis Bolanos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luis Bolanos was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.