MICHAEL BOLANOS M.D.
NPI 1063708600
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fort Lauderdale, FL

Q: What is Michael Bolanos's NPI number?

The NPI number for Michael Bolanos is 1063708600. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Q: What is Michael Bolanos's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Bolanos was last updated on October 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2011PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1625 SE 3RD AVE STE 300, FORT LAUDERDALE, FL 33316(954) 355-4665(954) 355-4881 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2025, Mar 4, 2025, Feb 24, 2025 and 2 more (5 updates tracked since 2020).

On this page

About Michael Bolanos M.d. NPPES

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

MICHAEL BOLANOS M.D. (NPI 1063708600) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Fort Lauderdale, Florida, licensed in Florida (ME139818) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Broward Health Medical Center, and maintains a secondary practice location in Fort Lauderdale.

NPPES Registry Identity

NPI1063708600

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameMICHAEL BOLANOSCredential: M.D.

Location Address1625 SE 3RD AVE STE 300Fort Lauderdale, FL 33316-2521

Mailing Address1608 Se 3rd Ave Fl 3Fort Lauderdale, FL 33316-2564 · (954) 355-4665 · Fax (954) 355-4881

Phone(954) 355-4665

Fax(954) 355-4881

Sole ProprietorNo

Medical School CMSPonce School Of MedicineGraduated 2011

Enumeration DateJune 22, 2011

Last NPPES UpdateOctober 20, 20255 updates tracked since enumeration

NPPES CertifiedOctober 20, 2025

✔ NPI 1063708600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in FL · ME139818

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

1625 SE 3RD AVE STE 300, Fort Lauderdale, FL 33316

Open in Google Maps ↗

Secondary Practice Location 1

Location 11625 SE 3rd Ave Ste 355Fort Lauderdale, FL 33316-2521 · Phone (954) 355-5001 · Fax (954) 355-4881

Other Identifiers 3

OtherQ01047319FL · Medicare Rr

OtherUP666FL · Medicare Hf

Medicaid103651500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Bolanos M.d. 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.

PECOS PAC ID6103134259

PECOS Enrollment IDI20190621000361

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.

Areas of Expertise CMS Part B claims

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.

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

37 services37 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Broward Health Medical Center

Acute Care Hospitals · Fort Lauderdale, FL

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100039

Location1600 S Andrews AveFort Lauderdale, FL 33316 · Broward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33316 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$179.05 typical visit price

range $58.56 – $179.05

Typical copayment $44.76 (range $14.64 – $44.76)

Most-billed visit code 99205

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 17

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

GENESIS ELIZABETH ANGULO-JUAN APRN

Nurse Practitioner (Acute Care)

1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316

Broward County (954) 355-4665

ALAN L NIEDERMAN MD

Internal Medicine (Interventional Cardiology)

1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316

Broward County (954) 355-5001

VIOLETA ATANASOSKI MCCORMACK MD

Internal Medicine (Interventional Cardiology)

1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316

Broward County (954) 355-4665

DR. ALEXANDER G JUSTICZ MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316

Broward County (954) 355-4665

BEATRIZ A. LIBOS PA-C

Physician Assistant (Medical)

1625 SE 3RD AVE STE 300
FT LAUDERDALE, FL 33316

Broward County (954) 355-4665

MR. JACK JOSEPH CRISTIANO JR. PA-C

Physician Assistant (Surgical)

1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316

Broward County (954) 355-4665

BRET LESLIE SHARF PA-C

Physician Assistant

1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316

Broward County (954) 355-5001

ARNOUX BLANCHARD M.D

Internal Medicine (Cardiovascular Disease)

1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316

Broward County (954) 355-4665

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 Michael Bolanos's NPI number?

The NPI number for Michael Bolanos is 1063708600. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Michael Bolanos located?

Michael Bolanos practices at 1625 SE 3rd Ave Ste 300, Fort Lauderdale, FL 33316. The listed phone number is (954) 355-4665.

What is Michael Bolanos's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Michael Bolanos enrolled in Medicare?

Yes. Michael Bolanos 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.

What insurance does Michael Bolanos accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Oscar Health Maintenance Organization of Florida list Michael Bolanos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Bolanos affiliated with any hospitals?

According to CMS data, Michael Bolanos is affiliated with Broward Health Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Bolanos was last updated on October 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.