Luis Bolanos, DO
NPI 1023647666 · Student in an Organized Health Care Education/Training Program · Burlington, VT
Enrolled with Medicare as Order and Referring Only - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Luis Bolanos, DO is a Student in an Organized Health Care Education/Training Program provider in Burlington, VT (NPI 1023647666).
Provider details
- NPI number
- 1023647666
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-04-06
- Last updated
- 2023-07-05
- Certified
- 2023-07-05
Frequently asked questions
- What is Luis Bolanos's NPI number?
- Luis Bolanos's National Provider Identifier (NPI) is 1023647666, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Luis Bolanos's specialty?
- Luis Bolanos is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Luis Bolanos located?
- Luis Bolanos's practice location on file with NPPES is 111 Colchester Ave, Burlington, VT 05401-1473.
- What is Luis Bolanos's phone number?
- The practice phone number listed in the NPPES registry for Luis Bolanos is (802) 847-0000.
- Does Luis Bolanos accept Medicare?
- Luis Bolanos is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Luis Bolanos's NPI active?
- Yes — Luis Bolanos's NPI (1023647666) is active in the NPPES registry as of the last update on 2023-07-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.