Individual provider Active NPI

Bonita J Makdad, MD

  • Neonatal-Perinatal Medicine Physician
  • Richmond, VA
National Provider Identifier
1144280652
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
0101042245 Issued in VA
Practice address
412 Libbie Ave
Suite 4
Richmond, VA 23226-2659
Phone
(804) 282-8082
Fax
(804) 282-9082
NPI assigned
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 0101042245 VA Primary

Addresses

Primary practice location

412 Libbie Ave
Suite 4
Richmond, VA 23226-2659

Mailing address

412 Libbie Ave
Suite 4
Richmond, VA 23226-2659
Phone (804) 282-8082

Other identifiers 1

IdentifierTypeStateIssuer
06707432MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150831001654 VA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 7810203296

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101042245VAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Neonatology, Inc. Neonatal-Perinatal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144280652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 LIBBIE AVE",
            "address_2": "SUITE 4",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262659",
            "telephone_number": "804-282-8082",
            "fax_number": "804-282-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 LIBBIE AVE",
            "address_2": "SUITE 4",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262659",
            "telephone_number": "804-282-8082",
            "fax_number": "804-282-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKDAD",
        "first_name": "BONITA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "VA",
            "license": "0101042245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06707432",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.