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Edward De Jesus Bolanos , CAA

Anesthesiologist Assistant • Miramar, FL

Active NPI 1073895017 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1901 Sw 172nd Ave
Miramar, FL 330295592

Call 9548382371 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1901 Sw 172nd Ave

Miramar, FL 330295592

Telephone 9548382371
Fax 9548511746
Organization at the Same NPPES Address or Phone
South Broward Hospital District Facility NPI 1326021197

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Sheridan Healthcorp Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2011

What Public CMS Data Show

Anesthesiologist Assistant: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2024

All general payments: $68.59 across 4 records.

By nature of payment

  • Food and Beverage: $68.59 across 4 records.

Reporting-company totals

  • Merck Sharp & Dohme LLC: $68.59 across 4 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

15 years (graduated 2011)

CMS Doctors and Clinicians data list 2011 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Edward Bolanos has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Miramar and Florida

13 active clinicians are listed under Anesthesiologist Assistant with a practice address in Miramar, FL (969 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Miramar

0% of these 13 clinicians have the CMS telehealth indicator.

100% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $68.59.

Manufacturer Payment Nature Product Type Amount ($)
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
BRIDION General $21.81
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
BRIDION General $17.21
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
BRIDION General $15.24
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
BRIDION General $14.33

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-29
Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

License # reported to NPPES FL AA97

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ANESTHESIOLOGY ASSISTANT

Medicare Enrollment ID

I20111025000875

Enrollment State Jurisdiction

FL

PECOS Control ID

7315110061

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Sheridan Healthcorp Inc

1901 Sw 172 Ave, Miramar, FL 330295592

Phone: 9545384600

Sheridan Healthcorp Inc

401 Nw 42nd Ave, Plantation, FL 333172835

Phone: 9545875010

Sheridan Healthcorp Inc

3501 Johnson St, Hollywood, FL 330215421

Phone: 9542655339

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Cynthia Azoubel , PA-C

Physician Assistant

NPI 1013248095

Physician Assistant (Certified)

Bradley Bieberberg , AA

Anesthesiologist Assistant

NPI 1396099859
Dr. Michael Brazda , MD

Emergency Medicine

NPI 1083644629

Doctor of Medicine (M.D.)

Dr. Ethan Chapin , MD

Emergency Medicine

NPI 1386906055

Doctor of Medicine (M.D.)

Shawn Dooley , CRNA

Nurse Anesthetist, Certified Registered

NPI 1063077329

Certified Registered Nurse Anesthetist

Dr. Joni Dreith , MD

Anesthesiology

NPI 1144462144

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Business Mailing Address March 29, 2021

Registered at 7700 W SUNRISE BLVD, PLANTATION, FL 333224113 (Tel: 9548382371)

👤
Provider Name / Credentials Updated March 29, 2021

Recorded as EDWARD BOLANOS, CAA

âś…
NPI Profile Active September 15, 2011

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) September 15, 2011

Registered at 1901 SW 172ND AVE, MIRAMAR, FL 330295592 (Tel: 9548382371)

📍
Business Mailing Address (Initial Record) September 15, 2011

Registered at 1613 HARRISON PKWY STE 200, SUNRISE, FL 333232853 (Tel: 9548382371)

👤
Provider Name / Credentials (Initial Record) September 15, 2011

Recorded as EDWARD BOLANOS, AA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2011

Anesthesiologist Assistant (license number reported to NPPES: FL AA97)

🟢
Initial NPI Registration & Enumeration September 15, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073895017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2011
Last Update: March 29, 2021
Sole Proprietor: No

Other Anesthesiologist Assistants in Miramar

Healthcare providers in Miramar

Mailing Address

7700 W Sunrise Blvd

Plantation, FL 333224113

Phone: 9548382371

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.