Individual provider Active NPI

Alfred Lambert Bonjean, MD

  • Orthopaedic Surgery Physician
  • Merrillville, IN
National Provider Identifier
1003884834
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
01024800A Issued in IN
Practice address
99 E 86TH Ave
Ste C
Merrillville, IN 46410-6267
Phone
(219) 769-4835
Fax
(219) 769-5816
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 01024800A IN Primary

Addresses

Primary practice location

99 E 86TH Ave
Ste C
Merrillville, IN 46410-6267

Mailing address

101 E 87TH Ave
Merrillville, IN 46410-7335
Phone (219) 769-4835

Other identifiers 2

IdentifierTypeStateIssuer
000000084012OtherANTHEM
100167330MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100209000647 IN Practitioner - Orthopedic Surgery 4880787845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01024800AINMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc Current Accepting new patients
The Methodist Hospitals, Inc CurrentSince Aug 1, 2013 Accepting new patients
The Methodist Hospitals, Inc. Orthopaedic Surgery CurrentSince Aug 1, 2013 Accepting new patients
Northwest Orthopedic Consultants, Inc. Orthopaedic Surgery PastSince Jun 12, 1980 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

1275 E North St
Crown Point, IN 46307
Phone (219) 663-2793

99 E 86th Ave
Ste C
Merrillville, IN 46410
Phone (219) 769-4061

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

101 E 87th Ave
Merrillville, IN 46410
Phone (219) 738-6670

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1003884834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E 87TH AVE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107335",
            "telephone_number": "219-769-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E 86TH AVE",
            "address_2": "STE C",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106267",
            "telephone_number": "219-769-4835",
            "fax_number": "219-769-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONJEAN",
        "first_name": "ALFRED",
        "middle_name": "LAMBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01024800A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000084012",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100167330",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.