Individual provider Active NPI

Ronald Lee Bonfiglio, MD

  • Physical Medicine & Rehabilitation Physician
  • Fort Wayne, IN
National Provider Identifier
1215944947
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
01057501D Issued in IN
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

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201080010MedicaidIN
300059481MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbonfiglio53894@PikevilleDirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AZ, IN, TN, KY5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
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 9 clinicians

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 Hospital, Fort Wayne, IN, CCN 150017
  • Parkview Regional Medical Center Hospital, Fort Wayne, IN, CCN 150021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1768AZMDPhysical Medicine & Rehabilitation Physician
01057501DINMDPhysical Medicine & Rehabilitation Physician
35061226OHMDPhysical Medicine & Rehabilitation Physician
53781TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Southern Tennessee LLC CurrentSince Dec 1, 2016 Accepting new patients
Pikeville Medical Center Inc CurrentSince Jan 13, 2025 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Sep 1, 2020 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Dec 1, 2016 Accepting new patients
Pikeville Medical Center Inc. CurrentSince Jan 13, 2025 Accepting new patients
Post-Acute Physicians of Indiana LLC Physical Medicine & Rehabilitation CurrentSince Jun 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.