NPIMap

Individual provider Active NPI

Alberto Antonio Bolanos, M.D.

  • Orthopaedic Surgery Physician
  • Albuquerque, NM
National Provider Identifier
1467548008
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD2024-0451 Issued in NM
Practice address
101 Hospital Loop NE Ste 201
Albuquerque, NM 87109-2128
Phone
(505) 727-4430
NPI assigned
Oct 4, 2006
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G84190 CA
Orthopaedic Surgery Physician 207X00000X MD2024-0451 NM Primary

Addresses

Primary practice location

101 Hospital Loop NE Ste 201
Albuquerque, NM 87109-2128

Mailing address

100 S San Mateo Dr
Suite 424
San Mateo, CA 94401-3805
Phone (650) 262-4262

Other practice location 1

100 S San Mateo Dr
Suite 424
San Mateo, CA 94401-3805
Phone (650) 262-4262

Other identifiers 1

IdentifierTypeStateIssuer
MD2024-0451OtherNMNM LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090113000075 CA Practitioner - Orthopedic Surgery 6406919745 Reassigns benefits to 2 organizations
I20240530000251 NM Practitioner - Orthopedic Surgery 6406919745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Stanford University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians
Sonora Community HospitalGroup PAC ID 4284538505, shared by 10 NPIs, 134 clinicians

Practice addresses (Care Compare)

101 Hospital Loop NE
Suite 201
Albuquerque, NM 87109-2128
Phone (505) 727-4430

193 Fairview LN
Sonora, CA 95370-4828
Phone (209) 536-5100

680 Guzzi LN
Suite 102
Sonora, CA 95370-5288
Phone (209) 536-5780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
81.74
Promoting interoperability
97
Improvement activities
40
Cost
67.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
84190CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital Orthopaedic Surgery CurrentSince Apr 13, 2023 Accepting new patients
Sonora Community Hospital Current Accepting new patients
Southwest Medical Associates, LLC CurrentSince Mar 1, 2025 Accepting new patients
New Mexico Orthopaedic Associates PC Orthopaedic Surgery CurrentSince Jun 1, 2024 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Mar 1, 2025 Accepting new patients
Sonora Community Hospital CurrentSince Apr 13, 2023 Accepting new patients
Sonora Community Hospital CurrentSince Jun 12, 2023 Accepting new patients
Sonora Community Hospital Current Accepting new patients
New Mexico Orthopaedic Associates PC CurrentSince Jun 1, 2024 Accepting new patients
Palo Alto Medical Foundation Past Accepting new patients
Mid-Peninsula Orthopedic Medical Group, Inc Orthopaedic Surgery PastSince Jan 1, 2002 Accepting new patients

Locations

12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

680 Guzzi Ln
Ste 102
Sonora, CA 95370
Phone (209) 536-5780

680 Guzzi Ln
Ste 105
Sonora, CA 95370
Phone (209) 532-0126

101 Hospital Loop NE
Ste 201
Albuquerque, NM 87109
Phone (505) 727-4430

1700 Louisiana Blvd NE
Albuquerque, NM 87110
Phone (505) 724-4300

2100 Louisiana Blvd NE
Ste 410
Albuquerque, NM 87110
Phone (505) 724-4300

4701 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 727-2000

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

Interoperability endpoints

  • Direct secure messaging: abolanos1131108@ahs.direct-ci.com
  • Direct secure messaging: abolanos45875@hisp.ehr.sutterhealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1467548008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S SAN MATEO DR",
            "address_2": "SUITE 424",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013805",
            "telephone_number": "650-262-4262",
            "fax_number": "650-262-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPITAL LOOP NE STE 201",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092128",
            "telephone_number": "505-727-4430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 S San Mateo Dr",
            "address_2": "Suite 424",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944013805",
            "country_code": "US",
            "telephone_number": "650-262-4262",
            "fax_number": "650-262-5862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLANOS",
        "first_name": "ALBERTO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G84190",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NM",
            "license": "MD2024-0451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM LICENSE",
            "identifier": "MD2024-0451",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.