Individual provider Active NPI

Perri Lee Bonar, DPM

  • Podiatrist
  • Purcellville, VA
National Provider Identifier
1184723264
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103301245 Issued in VA
Practice address
37279 Hunt Valley LN
Purcellville, VA 20132-4364
Phone
(703) 687-1985
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103301245 VA Primary
Podiatrist 213E00000X N004539 NY

Addresses

Primary practice location

37279 Hunt Valley LN
Purcellville, VA 20132-4364

Mailing address

37279 Hunt Valley LN
Purcellville, VA 20132-4364
Phone (703) 687-1985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200313000906 VA Practitioner - Podiatry 2062515299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

37279 Hunt Valley LN
Purcellville, VA 20132-4364
Phone (703) 687-1985

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions44
Removal of nail tissue250
Removal or shaving of skin growth143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103301245VAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Perri L Bonar DPM PLLC Podiatrist CurrentSince Feb 6, 2023 Accepting new patients
Albert C Esposito Podiatrist Past Accepting new patients
Erickson Health Medical Group of Virginia PC Podiatrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FACADD/Endpoint/FACADD

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1184723264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37279 HUNT VALLEY LN",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201324364",
            "telephone_number": "703-687-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37279 HUNT VALLEY LN",
            "city": "PURCELLVILLE",
            "state": "VA",
            "postal_code": "201324364",
            "telephone_number": "703-687-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAR",
        "first_name": "PERRI",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103301245",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purcellville, VA

Sources for this page

Verify at the official NPI Registry.