Active NPI
Romin Bonakdar
- Nephrology Physician
- Durham, NC
National Provider Identifier
1003236787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2017-00882
- Practice address
- 4419 Ben Franklin Blvd
Durham, NC 27704-2147 - Phone
- (919) 477-3005
- Fax
- (919) 477-5526
- NPI assigned
- Apr 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 201812 | NC | |
| Nephrology Physician | 207RN0300X | 2017-00882 | NC | Primary |
Addresses
Primary practice location
4419 Ben Franklin Blvd
Durham, NC 27704-2147
Mailing address
4419 Ben Franklin Blvd Apt E308
Durham, NC 27704-2147
Phone (919) 477-3005
Other practice location 1
125 MacNider Hall
Campus Box #7005
Chapel Hill, NC 27599-7005
Phone (919) 966-4468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4419 Ben Franklin Blvd
Durham, NC 27704-2147
Phone (919) 477-3005
Hospital & facility affiliations
- FMC-Eno River
- FMC Dialysis Services Neuse River
- FMC West Pettigrew Dialysis Center
- Duke Regional Hospital
- Granville Health Systems
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201812 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Durham Nephrology Associates PA | Nephrology | Current | Accepting new patients |
Locations
4419 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 477-3005
4419 Ben Franklin Blvd
Apt E308
Durham, NC 27704
102 Professional Park
Ste B
Oxford, NC 27565
Phone (919) 477-3005
Interoperability endpoints
- rbonakdar24119@direct.acumenmd.com
- rbonakdar466490@direct.medicine.duke.edu
- romin.bonakdar@direct.dna.nchie.net
Organizations & group practices 1
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.
-
- Nephrology Physician
- Durham, NC
- NPI 1962583203
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Durham, NC
- NPI 1427160241
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Durham, NC
- NPI 1780287706
Dialysis facility
-
- General Acute Care Hospital
- Durham, NC
- NPI 1871592113
-
- General Acute Care Hospital
- Oxford, NC
- NPI 1326061730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1003236787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4419 BEN FRANKLIN BLVD APT E308",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042147",
"telephone_number": "919-477-3005",
"fax_number": "919-477-5526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4419 BEN FRANKLIN BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042147",
"telephone_number": "919-477-3005",
"fax_number": "919-477-5526"
}
],
"practiceLocations": [
{
"address_1": "125 MacNider Hall",
"address_2": "Campus Box #7005",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275997005",
"country_code": "US",
"telephone_number": "919-966-4468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONAKDAR",
"first_name": "ROMIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-22",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "201812",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "2017-00882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.