Individual provider Active NPI

Megan Duffey Bonanni, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Detroit, MI
National Provider Identifier
1043466592
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
4301092524 Issued in MI
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

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PC 56 clinicians
Sturgis Hospital Inc 16 clinicians

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 Hospital, Sturgis, MI, CCN 230779
  • Mackinac Straits Hospital and Health Center Hospital, Saint Ignace, MI, CCN 231306
  • Beacon Allegan Hospital, Allegan, MI, CCN 231328

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301092524MIMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mackinac Straits Health System Inc Current Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Vituity-Michigan Health Services PC CurrentSince Jan 1, 2025 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Sep 21, 2023 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Sep 21, 2023 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Dec 2, 2021 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Sep 21, 2023 Accepting new patients
Cep America LLC CurrentSince Aug 1, 2023 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Sep 21, 2023 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Sep 21, 2023 Accepting new patients
Sturgis Hospital, Inc. Current Accepting new patients
Mackinac Straits Health System Inc CurrentSince Dec 2, 2021 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Sep 21, 2023 Accepting new patients
Vituity-Michigan Health Services PC CurrentSince Jan 1, 2025 Accepting new patients
Sturgis Hospital, Inc. CurrentSince Feb 28, 2024 Accepting new patients
West Branch Regional Medical Center Current Accepting new patients
Cep America LLC CurrentSince Aug 1, 2023 Accepting new patients
Sturgis Hospital, Inc. CurrentSince Feb 28, 2024 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

  • Direct secure messaging: 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.

View all 18

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.