DR. MARIELLE CELIS BOLANO MD
NPI 1053766196
Internal Medicine - Geriatric Medicine in Brisbane, CA
About Dr. Marielle Celis Bolano Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARIELLE CELIS BOLANO MD (NPI 1053766196) is an individual geriatric medicine provider in Brisbane, California, licensed in California (A166900) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Davis School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Marielle Celis Bolano Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Marielle Bolano reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 2,112 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Marielle Bolano's NPI number?
The NPI number for Marielle Bolano is 1053766196. It was assigned to this individual provider in the NPPES registry on April 26, 2016.
Where is Marielle Bolano located?
Marielle Bolano practices at 8000 Marina Blvd Fl 8, Brisbane, CA 94005. The listed phone number is (415) 514-3577.
What is Marielle Bolano's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.
Is Marielle Bolano enrolled in Medicare?
Yes. Marielle Bolano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Marielle Bolano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marielle Bolano reassigns Medicare benefits to 3 organizations: Regents Of The University Of California (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marielle Bolano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marielle Bolano was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Dr. Marielle Celis Bolano, MD · NPI 1053766196
Geriatric Medicine physician in Brisbane, California. Individual provider, active in the CMS NPPES registry since April 26, 2016.
## Identity
- **NPI:** 1053766196 (Entity type: Individual)
- **Enumerated:** April 26, 2016
- **Primary specialty:** Internal Medicine - Geriatric Medicine · taxonomy 207RG0300X
- **State license:** A166900 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 8000 MARINA BLVD FL 8, Brisbane, CA 94005-1844
- **Phone:** (415) 514-3577
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1376613943, San Francisco, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Davis School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** May 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053766196) · Data from the CMS NPPES public registry.