Individual provider Active NPI

Michael Arlington Rollins Jr., MD

  • Interventional Cardiology Physician
  • Bronx, NY
National Provider Identifier
1710950167
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
191736 Issued in NY
Practice address
3184 Grand Concourse
Bronx, NY 10458-1007
Phone
(718) 584-0555
Fax
(718) 584-0793
NPI assigned
Feb 8, 2006
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 191736 NY Primary

Addresses

Primary practice location

3184 Grand Concourse
Bronx, NY 10458-1007

Mailing address

3184 Grand Concourse
LD
Bronx, NY 10458-1007
Phone (718) 584-0555

Other identifiers 1

IdentifierTypeStateIssuer
02002660MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20091026000556 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0749327633 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC CurrentSince Nov 17, 2025 Accepting new patients
Bronx Heart Medical, P.C Past Accepting new patients
Bronx Primary Care Past Accepting new patients
Docs Physicians Affiliated With Bimc Past Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJJFAD

Organizations & group practices 4

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1710950167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3184 GRAND CONCOURSE",
            "address_2": "LD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581007",
            "telephone_number": "718-584-0555",
            "fax_number": "718-584-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104581007",
            "telephone_number": "718-584-0555",
            "fax_number": "718-584-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "MICHAEL",
        "middle_name": "ARLINGTON",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "191736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02002660",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.