DR. MICHAEL WILLIAM DOLAN MD
NPI 1265011183
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Michael Dolan's NPI number?

The NPI number for Michael Dolan is 1265011183. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Q: What is Michael Dolan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Dolan was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 07, 2021PECOS Enrolled

111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 28, 2024, Apr 7, 2021 (2 updates tracked since 2021).

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About Dr. Michael William Dolan Md NPPES

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

DR. MICHAEL WILLIAM DOLAN MD (NPI 1265011183) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1265011183

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MICHAEL WILLIAM DOLANCredential: MD

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address35 Valley Ave Unit 423Elmsford, NY 10523-3029 · (845) 920-6058

Phone(718) 920-4321

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 7, 2021

Last NPPES UpdateJune 28, 20242 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1265011183 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 E 210TH ST, Bronx, NY 10467

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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)

Dr. Michael William Dolan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466922216

PECOS Enrollment IDI20260521004175

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. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)