Diangie Acosta Bonilla, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME159985 Issued in FL

Practice address

4390 66TH St N
Kenneth City, FL 33709-4920

Phone

(727) 513-4100

Fax

(727) 565-4979

NPI assigned

Oct 5, 2019

Last updated

Jun 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, MO2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Everyone Urgent Care LLCGroup PAC ID 1355842097, 3 clinicians

Mercy Southern Missouri Ambulatory Services LLCGroup PAC ID 5193089621, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Everyone Urgent Care LLC

  • Urgent Care Clinic/Center
  • Parrish, FL
  • NPI 1548081995

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Mercy Southern Missouri Ambulatory Services LLC

  • Urgent Care Clinic/Center
  • Springfield, MO
  • NPI 1871094052
  Medicare reassignment Care Compare group NPD
• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1881055366
  Medicare reassignment NPD
• Dedicated Senior Medical Center of Florida, LLC

  • Specialist
  • Tampa, FL
  • NPI 1700393881
  NPD
• Dedicated Senior Medical Centers of Florida, LLC

  dba Dedicated Senior Medical Center Kenneth City

  • Non-Pharmacy Dispensing Site
  • St Petersburg, FL
  • NPI 1285357475
  NPD
• The Medina Clinic, Incorporated

  dba The Medina Clinic

  • Primary Care Clinic/Center
  • Grandview, MO
  • NPI 1073893046
  NPD (past)

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1154962645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4390 66TH ST N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337094920",
            "telephone_number": "727-513-4100",
            "fax_number": "727-565-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 66TH ST N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337094920",
            "telephone_number": "727-513-4100",
            "fax_number": "727-565-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA BONILLA",
        "first_name": "DIANGIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-05",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME159985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 3 MG Partners LLC
• Advanced Lung and Sleep Disorders Consultants P a
• Gabriela Marie Alvarez, MD
• Janet Marie Bailey, RN
• Balanced Nursing SNF LLC
• Marquasia Bennett

• Family Medicine Physician in Kenneth City, FL
• Providers in Kenneth City, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.

Verify at the official NPI Registry.