Individual provider Active NPI

Philip F Bongiorno, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Topeka, KS
National Provider Identifier
1073512422
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
0431284 Issued in KS
Practice address
600 SW College Ave Ste 202
Topeka, KS 66606-1684
Phone
(785) 270-5115
Fax
(785) 270-7309
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0431284 KS Primary

Addresses

Primary practice location

600 SW College Ave Ste 202
Topeka, KS 66606-1684

Mailing address

PO Box 1657
Topeka, KS 66601-1657
Phone (785) 295-8108

Other identifiers 1

IdentifierTypeStateIssuer
200326220AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20181105001471 FL Practitioner - Thoracic Surgery 1658270939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Emory University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, 498 clinicians

Practice addresses (Care Compare)

1405 Centerville Rd
Suite 5000
Tallahassee, FL 32308-4663
Phone (850) 878-6164

Hospital & facility affiliations

  • Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0431284KSMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles (7 of 9)

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Aug 5, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Aug 5, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
St. Francis Physician Clinics Inc. Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Wichita Surgical Specialists PA Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jan 1, 1995 Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

1405 Centerville Rd
Ste 5000
Tallahassee, FL 32308
Phone (850) 877-7886

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pbongiorno22221@tallahasseememorial.direct-ci.com
  • Direct secure messaging: pbongiorno1246851@direct.ccf.org

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.

Hospital & facility affiliations 1

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1073512422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1657",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666011657",
            "telephone_number": "785-295-8108",
            "fax_number": "785-231-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SW COLLEGE AVE STE 202",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061684",
            "telephone_number": "785-270-5115",
            "fax_number": "785-270-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONGIORNO",
        "first_name": "PHILIP",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KS",
            "license": "0431284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200326220A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.