EDWARD DE JESUS BOLANOS CAA
NPI 1073895017
Anesthesiologist Assistant in Miramar, FL

Q: What is Edward Bolanos's NPI number?

The NPI number for Edward Bolanos is 1073895017. It was assigned to this individual provider in the NPPES registry on September 15, 2011.

Q: What is Edward Bolanos's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Bolanos was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 15, 2011Accepts Medicare Assignment

1901 SW 172ND AVE, MIRAMAR, FL 33029(954) 838-2371(954) 851-1746 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Edward De Jesus Bolanos Caa NPPES

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

EDWARD DE JESUS BOLANOS CAA (NPI 1073895017) is an individual anesthesiologist assistant in Miramar, Florida, licensed in Florida (AA97) and active in the NPI registry since September 2011. He is affiliated with Memorial Hospital Miramar and is a graduate of Other (2011).

NPPES Registry Identity

NPI1073895017

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameEDWARD DE JESUS BOLANOSCredential: CAA

Location Address1901 SW 172ND AVEMiramar, FL 33029-5592

Mailing Address7700 W Sunrise BlvdPlantation, FL 33322-4113 · (954) 838-2371 · Fax (954) 851-1746

Phone(954) 838-2371

Fax(954) 851-1746

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateSeptember 15, 2011

Last NPPES UpdateMarch 29, 2021

NPPES CertifiedMarch 29, 2021

✔ NPI 1073895017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · AA97

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1901 SW 172ND AVE, Miramar, FL 33029

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

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

Edward De Jesus Bolanos Caa 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 ID7315110061

PECOS Enrollment IDI20111025000875

Medicare Billing Reassignment

Medicare enrollment records show Edward Bolanos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sheridan Healthcorp Inc

0.2 mi

Anesthesiology

1901 SW 172ND AVE
Miramar, FL 33029

Reassigned Medicare billing, Florida enrollment
1,973 clinicians in this Medicare group

NPI 1730751090 (877) 328-1119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Memorial Hospital Miramar

Acute Care Hospitals · Miramar, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100285

Location1901 SW 172nd AveMiramar, FL 33029 · Broward County

Emergency services Birthing friendly

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.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

99%295 patients4/55-star benchmark: 100%

Pre-operative OSA assessment

Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)

100%469 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

TAYLOR JAMES COX MD

Anesthesiology