Active NPI
Ronald Lee Bonfiglio, MD
- Physical Medicine & Rehabilitation Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 01057501D
- Practice address
- 7970 W Jefferson Blvd
Fort Wayne, IN 46804-4140 - Phone
- (260) 435-6100
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 35061226 | OH | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 01057501D | IN | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | 57000 | KY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 53781 | TN | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 1768 | AZ |
Addresses
Primary practice location
7970 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Mailing address
1776 Woodstead CT Ste 208
The Woodlands, TX 77380-1480
Phone (877) 749-7428
Other practice location 1
911 Bypass Rd Bldg A
Pikeville, KY 41501-1602
Phone (606) 430-3500
Other practice location 2
770 W High St Ste 160
Lima, OH 45801
Phone (419) 996-5224
Other practice location 3
2200 Randallia Dr
Fort Wayne, IN 46805-4638
Phone (260) 373-6454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201080010 | Medicaid | IN | |
| 300059481 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbonfiglio53894@PikevilleDirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, AZ, IN, TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040706001197 | OH | Practitioner - Physical Medicine and Rehabilitation | 4587552260 | Reassigns benefits to 1 organization |
| I20080211000149 | AZ | Practitioner - Physical Medicine and Rehabilitation | 4587552260 | Practice locations: Fort Mohave, AZ; Lake Havasu City, AZ |
| I20120829000183 | IN | Practitioner - Physical Medicine and Rehabilitation | 4587552260 | Reassigns benefits to 1 organization |
| I20170307002357 | TN | Practitioner - Physical Medicine and Rehabilitation | 4587552260 | Reassigns benefits to 1 organization |
| I20250123002647 | KY | Practitioner - Physical Medicine and Rehabilitation | 4587552260 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Toledo Medical College, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Post-Acute Physicians of Indiana LLC
Practice addresses (Care Compare)
7970 W Jefferson Blvd
Post Acute Physicians LLC
Fort Wayne, IN 46804-4140
Phone (281) 724-3050
Hospital & facility affiliations
- Lutheran Hospital of Indiana
- Parkview Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1768 | AZ | MD | Physical Medicine & Rehabilitation Physician |
| 01057501D | IN | MD | Physical Medicine & Rehabilitation Physician |
| 35061226 | OH | MD | Physical Medicine & Rehabilitation Physician |
| 53781 | TN | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Pikeville Medical Center Inc | Current | Accepting new patients | |
| Mercy Health Physicians Lima Specialty Care LLC | Current | Accepting new patients | |
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Pikeville Medical Center Inc. | Current | Accepting new patients | |
| Post-Acute Physicians of Indiana LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Pikeville Medical Center Inc | Past | Accepting new patients |
Locations
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
7970 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2607
184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213
911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201
911 Bypass Rd
Pikeville, KY 41501
Phone (606) 218-4530
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069
770 W High St
Ste 160
Lima, OH 45801
Phone (419) 996-5224
770 W High St
Lima, OH 45801
Phone (419) 996-5240
183 Hospital Rd
Ste B
Winchester, TN 37398
Phone (931) 962-2272
83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966
1776 Woodstead Ct
Ste 208
The Woodlands, TX 77380
Phone (281) 724-3100
Interoperability endpoints
- rbonfiglio53894@pikevilledirect.org
Organizations & group practices 8
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.
-
- Physical Medicine & Rehabilitation Physician
- Fort Wayne, IN
- NPI 1184486128
IN, Physical Medicine & Rehabilitation
-
- Rural Health Clinic/Center
- Tullahoma, TN
- NPI 1174365803
-
- Multi-Specialty Clinic/Center
- Cheyenne, WY
- NPI 1891599502
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Sleep Disorder Diagnostic Clinic/Center
- Whitesburg, KY
- NPI 1871575498
Hospital & facility affiliations 2
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": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1215944947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 WOODSTEAD CT STE 208",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773801480",
"telephone_number": "877-749-7428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7970 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044140",
"telephone_number": "260-435-6100"
}
],
"practiceLocations": [
{
"address_1": "911 Bypass Rd Bldg A",
"address_purpose": "LOCATION",
"city": "Pikeville",
"state": "KY",
"postal_code": "415011602",
"country_code": "US",
"telephone_number": "606-430-3500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "770 W High St Ste 160",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "45801",
"country_code": "US",
"telephone_number": "419-996-5224",
"fax_number": "419-996-5276",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 Randallia Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468054638",
"country_code": "US",
"telephone_number": "260-373-6454",
"fax_number": "260-373-6470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONFIGLIO",
"first_name": "RONALD",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "35061226",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "01057501D",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "KY",
"license": "57000",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TN",
"license": "53781",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "1768",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201080010",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300059481",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rbonfiglio53894@PikevilleDirect.org",
"affiliation": "N",
"endpointDescription": "Direct address for ccda",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Standard Direct Functionality",
"address_1": "911 Bypass Rd Bldg A",
"city": "Pikeville",
"state": "KY",
"country_code": "US",
"postal_code": "415011602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.