Active NPI
Diego Fernando Bonilla, M.D.
- Internal Medicine Physician
- Framingham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 241208
- Practice address
- 115 Lincoln St
Framingham, MA 01702-6358 - Phone
- (508) 383-1000
- NPI assigned
- Jun 17, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 241208 | MA | Primary |
Addresses
Primary practice location
115 Lincoln St
Framingham, MA 01702-6358
Mailing address
1180 Beacon St
Ste 3C
Brookline, MA 02446-3806
Phone (646) 238-2960
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11750 SW 40 St
Miami, FL 33175-3530
Phone (561) 997-0821
20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (561) 997-0821
Hospital & facility affiliations
- HCA Florida Kendall Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241208 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intensive Care Consortium Inc | Current | Accepting new patients | |
| Vital Medical Forces of Dover PC | Internal Medicine | Past | Accepting new patients |
Locations
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
Organizations & group practices 2
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.
-
- Specialist
- Aventura, FL
- NPI 1629019062
-
- Internal Medicine Physician
- Dover, NJ
- NPI 1720007701
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Miami, FL
- NPI 1710931522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1093942989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 BEACON ST",
"address_2": "STE 3C",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024463806",
"telephone_number": "646-238-2960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 LINCOLN ST",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017026358",
"telephone_number": "508-383-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONILLA",
"first_name": "DIEGO",
"middle_name": "FERNANDO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-17",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "241208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.