ALEXANDER JAVIER BOLANOS (M.D.) – Interventional Cardiology Physician, NPI 1578900619
Interventional Cardiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
614 INTERVENTIONAL CARDIOLOGY in FL
Provider Addresses for ALEXANDER JAVIER BOLANOS (M.D.)
1600 SW Archer Rd
Room 4102
Gainesville, FL 326103003
Phone: (352) 265-0239
Fax: (352) 265-1107
Type: Location
4205 BELFORT RD STE 4015
JACKSONVILLE, FL 322163623
Phone: (904) 450-6017
Fax: (904) 450-6041
Type: Mailing
1824 KING ST STE 300
JACKSONVILLE, FL 322044736
Phone: (904) 388-1820
Fax: (904) 388-1827
Type: Location
2080 OAKLEY SEAVER DR
CLERMONT, FL 347111962
Phone: (321) 841-6444
Fax: (407) 290-2118
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 29 Open Payments records for all available years, with a total value of $808.
Total Amount is formed as General ($808) + Research ($0) + Ownership ($0) = $808.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Inari Medical, Inc. ($185).
Total Amount
$808
General + Research + Ownership
Payments
29
Total payment records
General Amount
$808
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-07-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200715001712 | I | Interventional Cardiology | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 179 | 177 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 110 | 99 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 108 | 76 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 103 | 103 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 89 | 64 | $0 |
Insurance plans in this area (ZIP 32610)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Vascular Surgery, General Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| Sports Medicine | OH | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Internal Medicine | IA |
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