MICHAEL BOLANOS (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1063708600

MICHAEL BOLANOS (M.D.) is a healthcare provider. based in Fort lauderdale, Florida. specializing in THORACIC SURGERY, CARDIAC SURGERY. They hold the professional credentials M.D.. They hold a License No. ME139818 (FL). The NPI Number for MICHAEL BOLANOS (M.D.) is 1063708600

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL BOLANOS (M.D.)
NPI
1063708600
Phone
(954) 355-5001
Address
1625 SE 3rd Ave Ste 355
Enumeration Date
22 June 2011
Last Update Date
20 October 2025

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
9543203322
Graduation Year
2011 (15 years ago)
PAC ID
6103134259
Group Practice PAC ID
3577472422
Professional Enrollment ID
I20190621000361
Address ID
FL333162521FO1625XAVEX400

Contacts

Secure Messaging
michael.bolanos.1@4692.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness95
Years active:14State licenses:1Other names

406 THORACIC SURGERY in FL

Provider Addresses for MICHAEL BOLANOS (M.D.)

  • 1625 SE 3rd Ave Ste 355

    Fort Lauderdale, FL 333162521

    Phone: (954) 355-5001

    Fax: (954) 355-4881

    Type: Location

  • 600 NOKOMIS AVE S STE 207

    VENICE, FL 342853209

    Phone: (941) 486-6770

    Fax: (941) 486-6775

    Type: Mailing

  • 180 JFK DR STE 320

    ATLANTIS, FL 334626641

    Phone: (561) 548-4900

    Fax: (561) 434-5165

    Type: Mailing

  • 1608 SE 3RD AVE FL 3

    FORT LAUDERDALE, FL 333162564

    Phone: (954) 355-4665

    Fax: (954) 355-4881

    Type: Mailing

  • 1625 SE 3RD AVE STE 300

    FORT LAUDERDALE, FL 333162521

    Phone: (954) 355-4665

    Fax: (954) 355-4881

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $4,592.

Total Amount is formed as General ($4,592) + Research ($0) + Ownership ($0) = $4,592.

Last reported payment date: 2024-09-13 • Largest payer in this snapshot: ATRICURE, INC. ($1,739).

Total Amount

$4,592

General + Research + Ownership

Payments

51

Total payment records

General Amount

$4,592

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190621000361IThoracic SurgeryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
33361Replacement of aortic valve through the skin and femoral artery3333$0
View full utilization report →

Insurance plans in this area (ZIP 33316)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577472422View full group profile
NameSpecialtyState
-FL
-FL
Orthopedic SurgeryFL
-FL
N E U R O L O G YFL
Critical Care (Intensivists)FL
Internal Medicine, Pediatric MedicineFL
Nurse PractitionerFL
Physician AssistantFL
Hand SurgeryFL

Reviews

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Frequently asked questions

Is there an official ID for MICHAEL BOLANOS (M.D.) in U.S. healthcare records?
The official identifier for MICHAEL BOLANOS (M.D.) is NPI 1063708600.
Is there an active status for MICHAEL BOLANOS (M.D.)?
For scheduling context, MICHAEL BOLANOS (M.D.) is shown as active in the registry.
What expertise is attributed to MICHAEL BOLANOS (M.D.)?
MICHAEL BOLANOS (M.D.)'s specialty line reads Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Where in Florida is MICHAEL BOLANOS (M.D.) registered?
Use Fort Lauderdale, Florida as the headline location for MICHAEL BOLANOS (M.D.) here.
When was this NPI issued?
Enumeration for MICHAEL BOLANOS (M.D.) is noted as June 22, 2011 where the registry provides it.

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