Active NPI
Joseph R. Bongiorno, P.A.
- Physician Assistant
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1092256
- 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.
-
- Emergency Medicine Physician
- El Paso, TX
- NPI 1679071690
TX
-
- Emergency Medicine Physician
- Plainview, TX
- NPI 1760028740
TX
-
- Emergency Medicine Physician
- Horizon City, TX
- NPI 1104326263
TX
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1861994808
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, LLCPhysicians Immediate Care North Chicago LLC
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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1092256 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Emergency Physicians, LLC | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1092256 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.