Active NPI
Jonathan Bonilla, MD
- Interventional Cardiology Physician
- Seguin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- U5573
- Practice address
- 1255 Ashby St Ste a
Seguin, TX 78155-5100 - Phone
- (830) 590-8049
- NPI assigned
- Jun 12, 2008
- Last updated
- Mar 12, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1105023 | Medicaid | LA | |
| 03208741 | Medicaid | MS |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 31 |
| Varicose vein removal | 18 |
| Leg revascularization (restoring blood flow) | 96 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.204149 | LA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Unity | Current | 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.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1679878268
-
- Interventional Cardiology Physician
- San Antonio, TX
- NPI 1225779390
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital
- Rural Acute Care Hospital
- Gonzales, TX
- NPI 1932108214
-
dba Guadalupe Regional Medical Center Cardiology
- Nursing Care Agency
- Seguin, TX
- NPI 1487674727
Hospital
-
dba Guadalupe Regional Medical Center
- General Acute Care Hospital
- Seguin, TX
- NPI 1720088123
-
dba Guadalupe Regional Medical Laurel
- General Acute Care Hospital
- Seguin, TX
- NPI 1780529966
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
- Carolyn Rae Bernaski
- Sule Pakize Bilir, M.D.
- Bio-Medical Applications of San Antonio, Inc. (Kidney Disease Clinic of Seguin)
- Bio-Medical Applications of Texas, Inc. (Fresenius Medical Care West Seguin)
- Janelle M Block, NP
- Nathan Borgfeld, MD
- Susan L Boullioun, MD
- Helen M Branch, LMT
- Jodi Michelle Brannen, M.D., PLLC
- Megan Brodeur, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.