Individual provider Active NPI

Engelbert Patrick Bonilla, MD

  • Obstetrics & Gynecology Physician
  • West Palm Beach, FL
National Provider Identifier
1154826113
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME156387 Issued in FL
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

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220609003092 FL Practitioner - Obstetrics/Gynecology 1355687989 Reassigns benefits to 2 organizations

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
Omni Medical Center for Women PLCGroup PAC ID 4880743657, 4 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
ME156387FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Omni Medical Center for Women PLC Obstetrics & Gynecology CurrentSince Apr 1, 2024 Accepting new patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Nov 1, 2022 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

  • Direct secure messaging: ebonilla289662@direct.tgh.org
  • FHIR API: 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.

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

Verify at the official NPI Registry.