NPIMap

Individual provider Active NPI

Christian G Bolanos Salazar, M.D

  • Nephrology Physician
  • Tampa, FL
National Provider Identifier
1962818807
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME149154 Issued in FL
Practice address
6914 Sheldon Rd Ste 101
Tampa, FL 33615-2701
Phone
(813) 910-0030
Fax
(813) 971-6473
NPI assigned
Jul 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME149154 FL Primary
Nephrology Physician 207RN0300X A149943 CA
Internal Medicine Physician 207R00000X 260304 MA

Addresses

Primary practice location

6914 Sheldon Rd Ste 101
Tampa, FL 33615-2701

Mailing address

6914 Sheldon Rd Ste 101
Tampa, FL 33615-2701
Phone (813) 910-0030

Other practice location 1

409 Bayshore Blvd
Tampa, FL 33606-2707
Phone (813) 844-7137

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721001570 FL Practitioner - Internal Medicine 3274936760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

6914 Sheldon Rd
Suite 101
Tampa, FL 33615-2701
Phone (813) 910-0030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.24 of 100Reported as individual
Quality
71.88
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260304MAMDInternal Medicine Physician
A149943CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Florida Kidney Physicians , LLC Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Florida Kidney Physicians, LLC Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Clinic for Kidney Diseases PA Single Specialty Past Accepting new patients

Locations

6914 Sheldon Rd
Ste 101
Tampa, FL 33615

409 Bayshore Blvd
Fl 4
Tampa, FL 33606
Phone (813) 910-8708

409 Bayshore Blvd
Tampa, FL 33606
Phone (813) 253-2640

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cbolanossalazar191459@direct.tgh.org
  • Direct secure messaging: christian.bolanos.salazar.1@15644.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1962818807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 SHELDON RD STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152701",
            "telephone_number": "813-910-0030",
            "fax_number": "813-442-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6914 SHELDON RD STE 101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152701",
            "telephone_number": "813-910-0030",
            "fax_number": "813-971-6473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Bayshore Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336062707",
            "country_code": "US",
            "telephone_number": "813-844-7137",
            "fax_number": "813-844-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLANOS SALAZAR",
        "first_name": "CHRISTIAN",
        "middle_name": "G",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-10",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME149154",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A149943",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "260304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.