Individual provider Active NPI

Jonathan Bonilla, MD

  • Interventional Cardiology Physician
  • Seguin, TX
National Provider Identifier
1013177013
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
U5573 Issued in TX
Practice address
1255 Ashby St Ste a
Seguin, TX 78155-5100
Phone
(830) 590-8049
NPI assigned
Jun 12, 2008
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD.204149 LA
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X U5573 TX Primary

Addresses

Primary practice location

1255 Ashby St Ste a
Seguin, TX 78155-5100

Mailing address

5224 75TH St Ste D
Lubbock, TX 79424-2525
Phone (806) 712-1096

Other practice location 1

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3724

Other practice location 2

7402 John Smith Dr Ste 101
San Antonio, TX 78229-4588
Phone (210) 817-4848

Other identifiers 2

IdentifierTypeStateIssuer
1105023MedicaidLA
03208741MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231026000145 TX Practitioner - Interventional Cardiology 1951525625 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tcvi AssociatesGroup PAC ID 7517301732, 5 clinicians
Physicians UnityGroup PAC ID 6406014919, 61 clinicians

Practice addresses (Care Compare)

1255 Ashby St
Suite a
Seguin, TX 78155-5100
Phone (830) 590-8049

7402 John Smith Dr
Suite 104
San Antonio, TX 78229-4589
Phone (210) 817-4848

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting31
Varicose vein removal18
Leg revascularization (restoring blood flow)96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.204149LAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Unity CurrentSince Oct 11, 2023 Accepting new patients

Locations

8611 N Mopac Expy
Ste 250
Austin, TX 78759
Phone (281) 888-9999

1533 5th St
Ste B
Corpus Christi, TX 78404
Phone (361) 266-2233

5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042

598 N Union Ave
Ste 335
New Braunfels, TX 78130
Phone (830) 606-9111

7402 John Smith Dr
Ste 101
San Antonio, TX 78229
Phone (210) 817-4848

7402 John Smith Dr
Ste 104
San Antonio, TX 78229
Phone (210) 455-3240

1255 Ashby St
Ste A
Seguin, TX 78155
Phone (830) 379-9391

Organizations & group practices 2

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 4

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1013177013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 75TH ST STE D",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242525",
            "telephone_number": "806-712-1096",
            "fax_number": "806-771-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 ASHBY ST STE A",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555100",
            "telephone_number": "830-590-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701212429",
            "country_code": "US",
            "telephone_number": "504-842-3724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7402 John Smith Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782294588",
            "country_code": "US",
            "telephone_number": "210-817-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "MD.204149",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "U5573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1105023",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03208741",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.