Active NPI
Andres Bonelli, MD
- Geriatric Medicine (Internal Medicine) Physician
- Corpus Christi, TX
National Provider Identifier
1245225663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- G9569
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QC14 | Other | BCBS | |
| 099781902 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- University Central del Caribe Escuela de Medicina, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Padre Home and Clinic Healthcare, PLLC | Current | 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
- 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.
-
- Family Nurse Practitioner
- Corpus Christi, TX
- NPI 1386304871
-
- Geriatric Medicine (Internal Medicine) Physician
- Corpus Christi, TX
- NPI 1437487972
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
- Neurology Physician
- Laredo, TX
- NPI 1578218244
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.