Active NPI
Cathleen Bonacci, MD
- Pediatrics Physician
- Lowell, MA
National Provider Identifier
1215908660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 211266
- Practice address
- 597 Merrimack St
Lowell Community Health Center
Lowell, MA 01854 - Phone
- (978) 937-9700
- Fax
- (978) 446-9830
- NPI assigned
- Feb 1, 2006
- Last updated
- Jul 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 211266 | MA | Primary |
Addresses
Primary practice location
597 Merrimack St
Lowell Community Health Center
Lowell, MA 01854
Mailing address
585-597 Merrimack St
Lowell Community Health Center
Lowell, MA 01854
Phone (978) 937-9700
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0027404 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 042881348 | Other | UNICARE | |
| 9686103 | Other | CIGNA | |
| 042881348 | Other | CHOICECARE | |
| 1305557 | Medicaid | MA | |
| 975842 | Other | NETWORK HEALTH | |
| 042881348 | Other | ONE HEALTH | |
| 042881348 | Other | BEECH STREET | |
| 3355263 | Other | AETNA | |
| AA2914 | Other | HARVARD PILGRIM HEALTHCAR | |
| 57684 | Other | FALLON | |
| 468576 | Other | TUFTS | |
| J26603 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Pediatric Associates Inc | Pediatrics | Current | Accepting new patients |
Locations
800 Washington St
Boston, MA 02111
Phone (617) 636-4800
800 Washington St
#1
Boston, MA 02111
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Boston, MA
- NPI 1477590511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1215908660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585-597 MERRIMACK ST",
"address_2": "LOWELL COMMUNITY HEALTH CENTER",
"city": "LOWELL",
"state": "MA",
"postal_code": "01854",
"telephone_number": "978-937-9700",
"fax_number": "978-446-9830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "597 MERRIMACK ST",
"address_2": "LOWELL COMMUNITY HEALTH CENTER",
"city": "LOWELL",
"state": "MA",
"postal_code": "01854",
"telephone_number": "978-937-9700",
"fax_number": "978-446-9830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONACCI",
"first_name": "CATHLEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "211266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0027404",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "042881348",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9686103",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICECARE",
"identifier": "042881348",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1305557",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "975842",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH",
"identifier": "042881348",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "042881348",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3355263",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "AA2914",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "57684",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "468576",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J26603",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.