NPIMap

Individual provider Active NPI

Comfort Bonu, MD

  • Hospitalist Physician
  • Santa Fe, NM
National Provider Identifier
1184696064
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD2010-0050 Issued in NM
Practice address
455 Saint Michaels Dr
St. Vincent Hospitalist Group
Santa Fe, NM 87505-7601
Phone
(505) 989-6130
Fax
(505) 820-5408
NPI assigned
Feb 3, 2006
Last updated
Jan 23, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD2010-0050 NM
Pediatrics Physician 208000000X 01049085A IN
Pediatrics Physician 208000000X MD2010-0050 NM
Hospitalist Physician 208M00000X MD2010-0050 NM Primary

Addresses

Primary practice location

455 Saint Michaels Dr
St. Vincent Hospitalist Group
Santa Fe, NM 87505-7601

Mailing address

455 Saint Michaels Dr
Physician Practices
Santa Fe, NM 87505-7601
Phone (505) 989-6130

Other identifiers 1

IdentifierTypeStateIssuer
200200060MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100526001097 NM Practitioner - Pediatric MedicinePractitioner - Internal Medicine 2961477765 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uka Healthcare Services LLCGroup PAC ID 1355724303, 7 clinicians
Amber Horizon Longterm Care PCGroup PAC ID 2961917950, 6 clinicians

Practice addresses (Care Compare)

1740 Grande Blvd SE
Suite E 10
Rio Rancho, NM 87124-1799
Phone (505) 504-1147

919 Mesa Roja TRL NE
Rio Rancho, NM 87124-6388
Phone (505) 990-0734

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2010-0050NMMDInternal Medicine Physician
01049085AINMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services Internal Medicine Current Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Uka Healthcare Services LLC Internal Medicine CurrentSince Nov 9, 2022 Accepting new patients

Locations

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1740 Grande Blvd SE
Ste 10
Rio Rancho, NM 87124
Phone (505) 504-1147

1740 Grande Blvd SE
Ste E
Rio Rancho, NM 87124

Interoperability endpoints

  • Direct secure messaging: cbonu164768@christushealth.direct-ci.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1184696064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "address_2": "PHYSICIAN PRACTICES",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-989-6130",
            "fax_number": "505-820-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "address_2": "ST. VINCENT HOSPITALIST GROUP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-989-6130",
            "fax_number": "505-820-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONU",
        "first_name": "COMFORT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2010-0050",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01049085A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "MD2010-0050",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NM",
            "license": "MD2010-0050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200200060",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.