Individual provider Active NPI

Joyce A Bonsu, MD

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
National Provider Identifier
1013976414
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0059784 Issued in MD
Practice address
3449 Wilkens Ave Ste 305
Baltimore, MD 21229-5218
Phone
(410) 644-2582
Fax
(410) 644-6232
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0059784 MD Primary

Addresses

Primary practice location

3449 Wilkens Ave Ste 305
Baltimore, MD 21229-5218

Mailing address

3449 Wilkens Ave Ste 305
Baltimore, MD 21229-5218
Phone (410) 644-2582

Other identifiers 3

IdentifierTypeStateIssuer
401434100MedicaidMD
618993-03OtherMDCAREFIRST-MD
0040OtherMDCAREFIRST-DC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040507001105 MD Practitioner - Obstetrics/Gynecology 5597754259 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Medical Group IncGroup PAC ID 7416037924, 77 clinicians

Practice addresses (Care Compare)

3449 Wilkens Ave
Suite 305
Baltimore, MD 21229-5218
Phone (410) 644-2582

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0059784MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Medical Group, Inc Obstetrics & Gynecology CurrentSince Jan 1, 2008 Accepting new patients
St Agnes Healthcare Inc CurrentSince Dec 1, 2019 Accepting new patients
St Agnes Healthcare Inc Obstetrics & Gynecology CurrentSince Dec 1, 2019 Accepting new patients
St. Agnes Healthcare, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3449 Wilkens Ave
#S102
Baltimore, MD 21229
Phone (667) 234-3120

3449 Wilkens Ave
Ste 305
Baltimore, MD 21229
Phone (410) 368-8685

1001 Pine Heights Ave
Ste 205
Baltimore, MD 21229
Phone (410) 369-2000

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

Organizations & group practices 5

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1013976414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVE STE 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295218",
            "telephone_number": "410-644-2582",
            "fax_number": "410-644-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 WILKENS AVE STE 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295218",
            "telephone_number": "410-644-2582",
            "fax_number": "410-644-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONSU",
        "first_name": "JOYCE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0059784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401434100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST-MD",
            "identifier": "618993-03",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST-DC",
            "identifier": "0040",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.