Bony Mathew, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95022391 Issued in CA

Practice address

558 S Paseo Dorotea Ste 6
Palm Springs, CA 92264-1429

Phone

(760) 423-4000

NPI assigned

Dec 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Homan a Zadeh MD MPH IncGroup PAC ID 8426189507, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.48 of 100Reported as group

Quality

56.38

Improvement activities

40

Cost

82.89

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Homan a. Zadeh, M.D., M.P.H., Inc.

  • Gastroenterology Physician
  • Palm Springs, CA
  • NPI 1891026373
  Medicare reassignment Care Compare group NPD
• Contour Dermatology and Cosmetic Surgery Medical Center, Apc

  • Dermatology Physician
  • Rancho Mirage, CA
  • NPI 1063502227
  Medicare reassignment NPD

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1174282099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S THORNHILL RD APT 1",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922642725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 S PASEO DOROTEA STE 6",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922641429",
            "telephone_number": "760-423-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "BONY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-08",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.023999",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95022391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marybeth Carter PHD, Psychologist a Professional Corporation
• Massage 22 LLC
• Vanessa Rose Massel
• Antonia Vasquez Mata
• Esther Matadama
• Marlon Stephen Mathews, MD
• Matthew Welebir DDS Inc
• Ashly Maughan
• Kirby Maus, LMFT
• Jacqueline Rene Maxson, LVN

• Nurse Practitioner in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.