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DR. FAUSTO RICARDO CABEZAS BOLANOS MD
NPI 1366094088
Internal Medicine - Nephrology in Brooklyn, NY

Active since July 12, 2019PECOS EnrolledAccepts Medicare Assignment
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 270-2848 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2024, Apr 4, 2024, Jul 12, 2019 (3 updates tracked since 2019).

About Dr. Fausto Ricardo Cabezas Bolanos Md NPPES

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

DR. FAUSTO RICARDO CABEZAS BOLANOS MD (NPI 1366094088) is an individual nephrology provider in Brooklyn, New York, licensed in New York (318069-01) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Jamaica Hospital Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366094088
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. FAUSTO RICARDO CABEZAS BOLANOSCredential: MD
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing Address394 Harman StBrooklyn, NY 11237-4683 · (857) 800-2961
Phone(718) 270-2848
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 12, 2019
Last NPPES UpdateApril 18, 20243 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1366094088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 318069-01
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
450 CLARKSON AVE, Brooklyn, NY 11203
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18900 Van Wyck ExpyJamaica, NY 11418-2897 · Phone (718) 206-6000
Location 2760 BroadwayBrooklyn, NY 11206-5317 · Phone (718) 963-8752

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

Dr. Fausto Ricardo Cabezas Bolanos 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.

PECOS PAC ID8729420849
PECOS Enrollment IDI20240521002785
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.

Hospital Affiliations CMS Care Compare

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

Jamaica Hospital Medical Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330014
Location89th Avenue And Van Wyck ExpresswayJamaica, NY 11418 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SUNY DOWNSTATE MEDICAL CENTER UHB
Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 363-2908
UNIVERSITY PHYSICIANS OF BROOKLYN
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Kings County (718) 270-1112
SNEHALATA R TOPGI MD
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3295
DR. MARYAM NOORI KOLOORI M.D.
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Kings County (412) 737-3789
DR. VIVEK YADAV MD
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 270-3302
DR. DANIEL BEEGAN MD
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Kings County (718) 270-4096
ELIEZER LEVITANSKY DO
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (245) 331-8718
MIGUEL ANGEL BARRIOS MD
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Kings County (718) 245-4798

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 Fausto Cabezas Bolanos's NPI number?

The NPI number for Fausto Cabezas Bolanos is 1366094088. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Fausto Cabezas Bolanos located?

Fausto Cabezas Bolanos practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-2848.

What is Fausto Cabezas Bolanos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Fausto Cabezas Bolanos enrolled in Medicare?

Yes. Fausto Cabezas 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.

Is Fausto Cabezas Bolanos affiliated with any hospitals?

According to CMS data, Fausto Cabezas Bolanos is affiliated with Jamaica Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Fausto Cabezas Bolanos was last updated on April 18, 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.