Individual provider Active NPI

Joseph R. Bongiorno, P.A.

  • Physician Assistant
  • El Paso, TX
National Provider Identifier
1013211432
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1092256 Issued in TX
Practice address
5005 N Piedras St
El Paso, TX 79920-5001
Phone
(915) 569-1386
Fax
(915) 569-4890
NPI assigned
Dec 28, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rockford Emergency Physicians, LLC 51 clinicians
Physicians Immediate Care North Chicago LLC 256 clinicians

Practice addresses (Care Compare)

1401 E State St
Rockford, IL 61104-2315
Phone (779) 696-4400

2853 Kirk Rd
Aurora, IL 60502-6031
Phone (630) 423-3030

4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000

6050 Caton Farm Rd
Plainfield, IL 60586-8218
Phone (815) 609-5501

800 N Larkin Ave
Joliet, IL 60435-3429
Phone (815) 741-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20220503001000 TX Practitioner - Physician Assistant 0941691067 Reassigns benefits to 3 organizations
I20250311003005 IL Practitioner - Physician Assistant 0941691067 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1092256TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Emergency Physicians, LLC CurrentSince Dec 1, 2025 Accepting new patients
HCN Ep Horizon City, LLC Past Accepting new patients

Locations

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1092256 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

5005 N Piedras St
El Paso, TX 79920-5001

Mailing address

5005 N Piedras St
El Paso, TX 79920-5001
Phone (915) 569-1386

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2010.

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1013211432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 N PIEDRAS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799205001",
            "telephone_number": "915-569-1386",
            "fax_number": "915-569-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 N PIEDRAS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799205001",
            "telephone_number": "915-569-1386",
            "fax_number": "915-569-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONGIORNO",
        "first_name": "JOSEPH",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "1092256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.