Active NPI
Engelbert Patrick Bonilla, MD
- Obstetrics & Gynecology Physician
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME156387
- Practice address
- 770 Northpoint Pkwy Ste 200
West Palm Beach, FL 33407-1901 - Phone
- (561) 626-3800
- Fax
- (561) 624-6364
- NPI assigned
- Mar 29, 2018
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME156387 | FL | Primary |
Addresses
Primary practice location
770 Northpoint Pkwy Ste 200
West Palm Beach, FL 33407-1901
Mailing address
5400 Broken Sound Blvd NW Apt 207
Boca Raton, FL 33487-3581
Phone (813) 505-9198
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
- Obstetrics/Gynecology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
706 W Platt St
Tampa, FL 33606-2250
Phone 81325120003
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.76 of 100
- Quality
- 84.84
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME156387 | FL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tampa General Hospital | Current | Accepting new patients | |
| Omni Medical Center for Women PLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Florida Woman Care, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
1050 NW 15th St
Ste 110A
Boca Raton, FL 33486
Phone (561) 392-4014
2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233
345 Jupiter Lakes Blvd
Ste 200
Jupiter, FL 33458
Phone (561) 741-1957
706 W Platt St
Tampa, FL 33606
Phone (813) 251-2000
6101 Webb Rd
Ste 102
Tampa, FL 33615
Phone (813) 251-2000
770 Northpoint Pkwy
Ste 100
West Palm Beach, FL 33407
770 Northpoint Pkwy
Ste 200
West Palm Beach, FL 33407
Phone (561) 555-3331
Interoperability endpoints
- ebonilla289662@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 3
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.
-
- Maternal & Fetal Medicine Physician
- Tampa, FL
- NPI 1629256474
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Tampa, FL
- NPI 1386823243
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1154826113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 BROKEN SOUND BLVD NW APT 207",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334873581",
"telephone_number": "813-505-9198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 NORTHPOINT PKWY STE 200",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334071901",
"telephone_number": "561-626-3800",
"fax_number": "561-624-6364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONILLA",
"first_name": "ENGELBERT",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-29",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME156387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.