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

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

MICHAEL BOLANOS is a thoracic surgeon located in FORT LAUDERDALE, FL. NPPES has assigned the NPI number 1063708600 to MICHAEL BOLANOS on June 22, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was last updated on Oct 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL BOLANOS below.

NPI Profile for
MICHAEL BOLANOS

NPI Number
1063708600
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL BOLANOS
Credentials
M.D.
Primary location
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316-2521
Phone: (954) 355-4665 Fax: (954) 355-4881
1 Other location(s):
1625 SE 3rd Ave Ste 355
Fort Lauderdale, FL 33316-2521
Phone: (954) 355-5001
Fax: (954) 355-4881
Mailing address
1608 SE 3RD AVE FL 3
FORT LAUDERDALE, FL 33316-2564
Phone: (954) 355-4665 Fax: (954) 355-4881
Sole Proprietor
No
Updated
Certification Date
Oct 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MICHAEL BOLANOS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE HFFLUP666
otherMEDICARE RRFLQ01047319
medicaidFL103651500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)
FL ME139818

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
AMR DIRECT ADDRESS
Content Type
Affiliation
N
Endpoint Location
600 NOKOMIS AVE S STE 207,
VENICE, FL 77025-1669

Additional Information

Education
PONCE SCHOOL OF MEDICINE - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MICHAEL BOLANOS is affiliated with the following medical group(s):
  • HOSPITAL
    • HCA FLORIDA JFK HOSPITAL
      5301 S CONGRESS AVE
      ATLANTIS, FL 33462
  • HOME HEALTH AGENCY
    • APPLETON HOME HEALTH SERVICES LLC
      1708 CORPORATE DR STE B
      BOYNTON BEACH, FL 33426

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.