Individual provider Active NPI

Andres Bonelli, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Corpus Christi, TX
National Provider Identifier
1245225663
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
G9569 Issued in TX
Practice address
3210 Reid Dr
Ste M
Corpus Christi, TX 78404-2524
Phone
(361) 882-1917
Fax
(361) 882-7507
NPI assigned
Sep 12, 2005
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X G9569 TX Primary

Addresses

Primary practice location

3210 Reid Dr
Ste M
Corpus Christi, TX 78404-2524

Mailing address

3210 Reid Dr Ste M
Corpus Christi, TX 78404-2524
Phone (361) 882-1917

Other identifiers 2

IdentifierTypeStateIssuer
QC14OtherBCBS
099781902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060309000487 TX Practitioner - Geriatric MedicinePractitioner - Internal Medicine 8123035532 Reassigns benefits to 1 organization
Practice locations: Corpus Christi, TX

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
University Central del Caribe Escuela de Medicina, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Padre Home and Clinic Healthcare, PLLCGroup PAC ID 9335533785, 2 clinicians

Practice addresses (Care Compare)

3210 Reid Dr
Suite M
Corpus Christi, TX 78404-2524
Phone (361) 533-1023

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Padre Home and Clinic Healthcare, PLLC CurrentSince Mar 23, 2022 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
US Neuroscience Institute PLLC Past Accepting new patients

Locations

3210 Reid Dr
Ste M
Corpus Christi, TX 78404
Phone (361) 533-1023

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1245225663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 REID DR STE M",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042524",
            "telephone_number": "361-882-1917",
            "fax_number": "361-882-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 REID DR",
            "address_2": "STE M",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042524",
            "telephone_number": "361-882-1917",
            "fax_number": "361-882-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONELLI",
        "first_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "G9569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "QC14",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099781902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.