Active NPI
Michael J. Bommarito, M.D.
- Pulmonary Disease Physician
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 34612
- Practice address
- 3075 US Route 60 Ste D225
Huntington, WV 25705-8859 - Phone
- (304) 528-4600
- NPI assigned
- Jul 21, 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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036108719 | IL | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 036108719 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 34612 | WV | Primary |
| Pulmonary Disease Physician | 207RP1001X | 01062187A | IN | |
| Pulmonary Disease Physician | 207RP1001X | 036108719 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 34612 | WV | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 01062187 | IN | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 01062187 | IN |
Addresses
Primary practice location
3075 US Route 60 Ste D225
Huntington, WV 25705-8859
Mailing address
3075 US Route 60
Huntington, WV 25705-8859
Phone (304) 528-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Human Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3075 US Route 60
Suite D225
Huntington, WV 25705-8859
Phone (304) 528-4600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01062187A | IN | MD | Pulmonary Disease Physician |
| 34612 | WV | MD | Pulmonary Disease Physician |
| 01062187 | IN | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CGH Medical Center | Current | Accepting new patients | |
| Midwest Critical Care SC | Critical Care Medicine | Current | Accepting new patients |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| Prime Healthcare Illinois Medical Group LLC | Current | Accepting new patients | |
| St. Mary'S Himg, LLC | Pulmonary Disease | Current | Accepting new patients |
| Ascension NE Wisconsin, Inc | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| St. Mary'S Medical Center Inc | Past | Accepting new patients | |
| St Marys Medical Center, Inc. | Past | Accepting new patients |
Locations
1801 W Olympic Blvd
#2636
Pasadena, CA 91199
1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756
100 Provena Way
Ste 103
Bourbonnais, IL 60914
Phone (815) 937-8780
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
201 N Hammes Ave
Joliet, IL 60435
Phone (224) 273-6350
101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
19475 W North Ave
Brookfield, WI 53045
Phone (262) 780-4000
6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100
3803 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-3973
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
3075 US Route 60
Huntington, WV 25705
Phone (304) 733-0004
3075 US Route 60
Ste D225
Huntington, WV 25705
Phone (304) 526-1234
147 Willow Tree Way
Hurricane, WV 25526
Phone (304) 397-3002
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/704af85e-ff7f-4141-a47d-5f79ab640202/
Organizations & group practices 9
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.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Multi-Specialty Clinic/Center
- Des Plaines, IL
- NPI 1023837689
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1912527193
-
- Durable Medical Equipment & Medical Supplies
- Morrison, IL
- NPI 1447415724
-
- Critical Care Medicine (Internal Medicine) Physician
- Mount Pleasant, WI
- NPI 1093425647
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1104681485
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntington, WV
- NPI 1164492195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1235150939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3075 US ROUTE 60",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257058859",
"telephone_number": "304-528-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 US ROUTE 60 STE D225",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257058859",
"telephone_number": "304-528-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOMMARITO",
"first_name": "MICHAEL",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036108719",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IL",
"license": "036108719",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WV",
"license": "34612",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IN",
"license": "01062187A",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036108719",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "WV",
"license": "34612",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "IN",
"license": "01062187",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IN",
"license": "01062187",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.