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YAOLEN BOLANOS MD
NPI 1942402045
Internal Medicine in Pembroke Pines, FL

Active since June 01, 2007PECOS Enrolled
12105 TAFT ST, PEMBROKE PINES, FL 33026(754) 232-1114(954) 416-6283 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 1, 2024, Feb 16, 2023 (2 updates tracked since 2023).

About Yaolen Bolanos Md NPPES

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

YAOLEN BOLANOS MD (NPI 1942402045) is an individual internal medicine provider in Pembroke Pines, Florida, licensed in Florida (ME104624) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942402045
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameYAOLEN BOLANOSCredential: MD
Location Address12105 TAFT STPembroke Pines, FL 33026-1957
Mailing Address13876 Nw 21st StPembroke Pines, FL 33028-2619 · (954) 579-0587
Phone(754) 232-1114
Fax(954) 416-6283
Sole ProprietorYes
Enumeration DateJune 1, 2007
Last NPPES UpdateApril 14, 20252 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1942402045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME104624
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12105 TAFT ST, Pembroke Pines, FL 33026
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yaolen Bolanos Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

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

Sunsouth Health Centers South Florida, LLC
17 mi
General Practice
1901 NW 17TH AVE
Miami, FL 33125
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group
NPI 1114585643 (305) 925-0009

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33026 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 3

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

CHARRIS REHAB INC
Physical Therapist
12105 TAFT ST
PEMBROKE PINES, FL 33026
Broward County (954) 641-9507
BOLANOS CLINICAL RESEARCH LLC
Clinic/Center (Research)
12105 TAFT ST
PEMBROKE PINES, FL 33026
Broward County (754) 232-1114
BOLANOS CONCIERGE MEDICINE LLC
Clinic/Center (Primary Care)
12105 TAFT ST
PEMBROKE PINES, FL 33026
Broward County (754) 232-1114

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 Yaolen Bolanos's NPI number?

The NPI number for Yaolen Bolanos is 1942402045. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Yaolen Bolanos located?

Yaolen Bolanos practices at 12105 Taft St, Pembroke Pines, FL 33026. The listed phone number is (754) 232-1114.

What is Yaolen Bolanos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Yaolen Bolanos enrolled in Medicare?

Yes. Yaolen Bolanos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Yaolen Bolanos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yaolen Bolanos reassigns Medicare benefits to Sunsouth Health Centers South Florida, LLC (Miami, FL). The 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 Yaolen Bolanos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yaolen Bolanos accept?

Health plans from 22 Health and Oscar Health Maintenance Organization of Florida list Yaolen 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.

When was this NPI record last updated?

The NPPES record for Yaolen Bolanos was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.