Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LUIS BOLANOS DO
NPI 1023647666
Pediatrics - Neonatal-Perinatal Medicine in Sioux Falls, SD

Q: 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.

Q: What is Luis Bolanos's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Luis Bolanos was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.

Active since April 06, 2020PECOS Enrolled

1325 S CLIFF AVE, SIOUX FALLS, SD 57105(605) 322-6400 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 21, 2026, Jul 5, 2023, Apr 6, 2020 (3 updates tracked since 2020).

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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 neonatal-perinatal medicine provider in Sioux Falls, South Dakota, licensed in South Dakota (18581) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023647666

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameLUIS BOLANOSCredential: DO

Location Address1325 S CLIFF AVESioux Falls, SD 57105-1005

Mailing Address1325 S Cliff AveSioux Falls, SD 57105-1005 · (605) 322-6400

Phone(605) 322-6400

Sole ProprietorYes

Enumeration DateApril 6, 2020

Last NPPES UpdateAugust 21, 20263 updates tracked since enumeration

NPPES CertifiedAugust 21, 2026

✔ NPI 1023647666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in SD · 18581

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

1325 S CLIFF AVE, Sioux Falls, SD 57105

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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.

DR. CHETAN JIWAN WASEKAR M.D.

Hospitalist

1325 S CLIFF AVE, SUITE 4421
SIOUX FALLS, SD 57105

Minnehaha County (605) 322-7645

ERICA GEERDES PT, DPT

Physical Therapist