NPIMap

Individual provider Active NPI

Edward Vincent Bonyak, MD

  • Cardiovascular Disease Physician
  • Kilmarnock, VA
National Provider Identifier
1003878794
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101048188 Issued in VA
Practice address
95 Harris Rd # Mob1
Kilmarnock, VA 22482-3845
Phone
(804) 435-7735
NPI assigned
Apr 6, 2006
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 20934 WV
Cardiovascular Disease Physician 207RC0000X 0101048188 VA Primary

Addresses

Primary practice location

95 Harris Rd # Mob1
Kilmarnock, VA 22482-3845

Mailing address

2410 Atherholt Rd
Lynchburg, VA 24501-2148
Phone (434) 200-5252

Other practice location 1

2410 Atherholt Rd
Lynchburg, VA 24501-2148
Phone (434) 200-5252

Other identifiers 16

IdentifierTypeStateIssuer
08251100000OtherQUALCHOICE
C00085OtherVA MEDICARE B - GROUP #
43935OtherSENTARA PROFESSIONAL
006051120MedicaidVA
0086502000MedicaidWV
550941600OtherMDMD MEDICAID GRP IN VA
9371521OtherWVWV MEDICARE B - GROUP #
9371521OtherWVWV MEDICARE GRP NEW
P00656327OtherRAILROAD MEDICARE
000875693OtherWV BLUE SHIELD - GROUP #
211032OtherANTHEM PROFESSIONAL
2119629OtherMAMSI PROFESSIONAL
9332051OtherWVWV MEDICARE GRP OLD
9332051OtherWVWV MEDICARE B - GROUP #
000486018OtherWV BLUE SHIELD
3810003817OtherWVWV MEDICAID GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080801000187 VA Practitioner - Cardiovascular Disease (Cardiology) 2961590575 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Pennsylvania State University College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1510 N 28TH St
Suite 210
Richmond, VA 23223-5311
Phone (804) 730-1481

8200 Meadowbridge Rd
Suite 306
Mechanicsville, VA 23116-2337
Phone (804) 764-1253

95 Harris Rd
Mob1
Kilmarnock, VA 22482-3845
Phone (804) 435-7735

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101048188VAMDCardiovascular Disease Physician
20934WVMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours - Memorial Regional Medical Center, Inc. CurrentSince Apr 17, 2023 Accepting new patients
Winchester Medical Center CurrentSince Sep 18, 1996 Accepting new patients
Winchester Medical Center CurrentSince Sep 18, 1996 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC CurrentSince Apr 17, 2023 Accepting new patients
Winchester Medical Center Current Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Current Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

95 Harris Rd
#1
Kilmarnock, VA 22482
Phone (804) 435-7735

8200 Meadowbridge Rd
Ste 306
Mechanicsville, VA 23116
Phone (804) 764-1253

8220 Meadowbridge Rd
Ste 306
Mechanicsvlle, VA 23116
Phone (804) 764-1253

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

190 Campus Blvd
Ste 201
Winchester, VA 22601
Phone (540) 536-5980

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Networks

  • KY PPO
  • TN PPO C-SNP
  • KY PPO C-SNP
  • TN PPO
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: ebonyak1718850@direct.bsmhealth.org

Organizations & group practices 9

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 11

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1003878794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 ATHERHOLT RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012148",
            "telephone_number": "434-200-5252",
            "fax_number": "434-200-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 HARRIS RD # MOB1",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823845",
            "telephone_number": "804-435-7735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Atherholt Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245012148",
            "country_code": "US",
            "telephone_number": "434-200-5252",
            "fax_number": "434-200-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONYAK",
        "first_name": "EDWARD",
        "middle_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "20934",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101048188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "08251100000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA MEDICARE B - GROUP #",
            "identifier": "C00085",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA PROFESSIONAL",
            "identifier": "43935",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006051120",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086502000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD MEDICAID GRP IN VA",
            "identifier": "550941600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV MEDICARE B - GROUP #",
            "identifier": "9371521",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV MEDICARE GRP NEW",
            "identifier": "9371521",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00656327",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BLUE SHIELD - GROUP #",
            "identifier": "000875693",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROFESSIONAL",
            "identifier": "211032",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROFESSIONAL",
            "identifier": "2119629",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV MEDICARE GRP OLD",
            "identifier": "9332051",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV MEDICARE B - GROUP #",
            "identifier": "9332051",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BLUE SHIELD",
            "identifier": "000486018",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV MEDICAID GROUP",
            "identifier": "3810003817",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilmarnock, VA

Sources for this page

Verify at the official NPI Registry.