Individual provider Active NPI

Hannie Zomer Bolanos, MD

  • Allergy & Immunology Physician
  • Bronx, NY
National Provider Identifier
1700319126
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
V4526 Issued in TX
Practice address
1180 Morris Park Ave Ste 3
Bronx, NY 10461-1925
Phone
(347) 498-2410
NPI assigned
Apr 4, 2017
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X V4526 TX Primary
Pediatric Allergy/Immunology Physician 2080P0201X V4526 TX

Addresses

Primary practice location

1180 Morris Park Ave Ste 3
Bronx, NY 10461-1925

Mailing address

1525 Blondell Ave
Bronx, NY 10461-2649
Phone (718) 405-8530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217000168 TX Practitioner - Pediatric Medicine 2961749197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2350 N Stemmons Fwy
Dallas, TX 75207-2700
Phone (214) 645-2353

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Feb 3, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Feb 3, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1180 Morris Park Ave
Ste 3
Bronx, NY 10461
Phone (347) 498-2410

1525 Blondell Ave
Bronx, NY 10461
Phone (718) 405-8530

1525 Blondell Ave
Ste 101
Bronx, NY 10461
Phone (718) 405-8530

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

1935 Medical District Dr
Unit A
Dallas, TX 75235

2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618

7609 Preston Rd
Plano, TX 75024
Phone (214) 456-2444

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1700319126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 BLONDELL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612649",
            "telephone_number": "718-405-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 MORRIS PARK AVE STE 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611925",
            "telephone_number": "347-498-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOMER BOLANOS",
        "first_name": "HANNIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "V4526",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "TX",
            "license": "V4526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.