Individual provider Active NPI

Keilah Isabel Gonzalez-Bonilla, M.D.

  • Family Medicine Physician
  • Knoxville, TN
National Provider Identifier
1114128725
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45347 Issued in TN
Practice address
9546 S Northshore Dr
Knoxville, TN 37922-5813
Phone
(865) 647-3440
Fax
(865) 647-2683
NPI assigned
May 30, 2007
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME96511 FL
Geriatric Medicine (Family Medicine) Physician 207QG0300X 45347 TN
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 45347 TN
Family Medicine Physician 207Q00000X 45347 TN Primary

Addresses

Primary practice location

9546 S Northshore Dr
Knoxville, TN 37922-5813

Mailing address

9546 S Northshore Dr
Knoxville, TN 37922-5813
Phone (865) 647-3440

Other identifiers 1

IdentifierTypeStateIssuer
1521768MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20091110000083 TN Practitioner - Family PracticePractitioner - Hospice/Palliative CarePractitioner - Geriatric Medicine 2062550296 Reassigns benefits to 1 organization
Practice locations: Powell, TN; Maryville, TN; Knoxville, TN; Lenoir City, TN; Andersonville, TN

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

Practice addresses (Care Compare)

155 Morning Point Dr
Lenoir City, TN 37772-6447
Phone (865) 271-9966

2330 Merchant Dr
Knoxville, TN 37912-5136
Phone (865) 333-8945

9546 Northshore Dr
Knoxville, TN 37922-5813
Phone (865) 670-7549

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME96511FLMDFamily Medicine Physician
45347TNMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Hma Physician Management, LLC CurrentSince Oct 1, 2025 Accepting new patients
Community Wellness Partners, PLLC Past Accepting new patients
MJ Mental Health, LLC Past Accepting new patients
Prisma Health - Blount Memorial Hospital Inc. Past Accepting new patients
Blount Hospitalists PC Past Accepting new patients
East Tennessee Medical Group, PC Family Medicine Past Accepting new patients

Locations

10805 Harding Dr
Knoxville, TN 37932
Phone (865) 675-6444

10810 Parkside Dr
Ste G-11
Knoxville, TN 37934
Phone (865) 218-6660

9546 S Northshore Dr
Knoxville, TN 37922
Phone (865) 521-6005

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4694/brand/1/csg/1/fhir/r4
  • Direct secure messaging: keilah.gonzalez-bonilla.1@23284.direct.athenahealth.com
  • Direct secure messaging: keilah.gonzalez-bonilla.1@4694.direct.athenahealth.com
  • Direct secure messaging: keilah.gonzalezbonilla.p2@direct.bmpg.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1114128725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9546 S NORTHSHORE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225813",
            "telephone_number": "865-647-3440",
            "fax_number": "865-647-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9546 S NORTHSHORE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379225813",
            "telephone_number": "865-647-3440",
            "fax_number": "865-647-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-BONILLA",
        "first_name": "KEILAH",
        "middle_name": "ISABEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME96511",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TN",
            "license": "45347",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TN",
            "license": "45347",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "45347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521768",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.