Active NPI
Megan Duffey Bonanni, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 4301092524
- Practice address
- 6071 W Outer Dr
Detroit, MI 48235-2624 - Phone
- (313) 966-3100
- NPI assigned
- Aug 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4301092524 | MI | Primary |
Addresses
Primary practice location
6071 W Outer Dr
Detroit, MI 48235-2624
Mailing address
380 Kerby Rd
Grosse Pointe Farms, MI 48236-3141
Phone (586) 601-6409
Other practice location 1
302 Hobart St
Cadillac, MI 49601-2379
Phone (231) 876-2644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120106000814 | MI | Practitioner - Emergency Medicine | 2860664059 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Wayne State University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vituity-Michigan Health Services PCSturgis Hospital Inc
Practice addresses (Care Compare)
555 Linn St
Allegan, MI 49010-1524
Phone (269) 673-8424
916 Myrtle St
Sturgis, MI 49091-2326
Phone (269) 651-7824
Hospital & facility affiliations
- Sturgis Hospital
- Mackinac Straits Hospital and Health Center
- Beacon Allegan
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301092524 | MI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mackinac Straits Health System Inc | Current | Accepting new patients | |
| Mymichigan Medical Center West Branch | Current | Accepting new patients | |
| Vituity-Michigan Health Services PC | Current | Accepting new patients | |
| Mymichigan Medical Center West Branch | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mackinac Straits Health System Inc | Current | Accepting new patients | |
| Mymichigan Medical Center West Branch | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Mymichigan Medical Center Alpena | Current | Accepting new patients | |
| Mymichigan Medical Center Alma | Current | Accepting new patients | |
| Sturgis Hospital, Inc. | Current | Accepting new patients | |
| Mackinac Straits Health System Inc | Current | Accepting new patients | |
| Mymichigan Medical Center Alma | Current | Accepting new patients | |
| Vituity-Michigan Health Services PC | Current | Accepting new patients | |
| Sturgis Hospital, Inc. | Current | Accepting new patients | |
| West Branch Regional Medical Center | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Sturgis Hospital, Inc. | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
555 Linn St
Allegan, MI 49010
Phone (269) 673-8424
300 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0104
1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
4851 E Pickard St
Ste 1000
Mt Pleasant, MI 48858
Phone (989) 956-9069
4851 E Pickard St
Mt Pleasant, MI 48858
Phone (989) 772-3009
411 Naomi St
Plainwell, MI 49080
Phone (269) 685-0700
4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000
1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466
916 Myrtle St
Sturgis, MI 49091
Phone (269) 651-7824
2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660
Interoperability endpoints
- mbonanni128288@mymichiganhealth.midirect.net
Organizations & group practices 18
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.
-
- Rural Acute Care Hospital
- Sturgis, MI
- NPI 1598099699
-
- Rural Health Clinic/Center
- Cheboygan, MI
- NPI 1659868206
-
- Family Medicine Physician
- Alma, MI
- NPI 1265596126
-
- Emergency Medicine Physician
- Alma, MI
- NPI 1568914422
-
- Emergency Medicine Physician
- Alpena, MI
- NPI 1508332792
-
- Internal Medicine Physician
- Alpena, MI
- NPI 1942302302
-
- Family Medicine Physician
- West Branch, MI
- NPI 1518418292
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Saint Ignace, MI
- NPI 1124283502
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1043466592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 KERBY RD",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363141",
"telephone_number": "586-601-6409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6071 W OUTER DR",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352624",
"telephone_number": "313-966-3100"
}
],
"practiceLocations": [
{
"address_1": "302 Hobart St",
"address_purpose": "LOCATION",
"city": "Cadillac",
"state": "MI",
"postal_code": "496012379",
"country_code": "US",
"telephone_number": "231-876-2644",
"fax_number": "231-876-5106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONANNI",
"first_name": "MEGAN",
"middle_name": "DUFFEY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-15",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "4301092524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.