Individual provider Active NPI

Francisco A Bonilla, M.D.

  • Allergy & Immunology Physician
  • Leominster, MA
National Provider Identifier
1245298215
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
77974 Issued in MA
Practice address
79 Erdman Way
Ste 101
Leominster, MA 01453-1805
Phone
(617) 355-8594
Fax
(617) 730-0310
NPI assigned
May 1, 2006
Last updated
Apr 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 77974 MA Primary

Addresses

Primary practice location

79 Erdman Way
Ste 101
Leominster, MA 01453-1805

Mailing address

79 Erdman Way
Ste 101
Leominster, MA 01453-1805
Phone (617) 355-8594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040510000635 MA Practitioner - Allergy/Immunology 1153310792 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Icahn School of Medicine at Mount Sinai, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and Asthma Physicians PCGroup PAC ID 6103859103, 5 clinicians

Practice addresses (Care Compare)

3 Woodland Rd
Suite 217
Stoneham, MA 02180-1711
Phone (781) 395-2922

79 Erdman Way
Suite 101
Leominster, MA 01453-1805
Phone (978) 537-4805

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
82.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Allergy Asthma & Immunology, PC Allergy & Immunology CurrentSince May 3, 2019 Accepting new patients
Neaai - Wpho LLC Allergy & Immunology Past Accepting new patients

Locations

79 Erdman Way
#101
Leominster, MA 01453
Phone (978) 537-4805

616 Boston Post Rd
Sudbury, MA 01776
Phone (978) 443-3111

Interoperability endpoints

  • Direct secure messaging: fbonilla28532@tuftsmedicine.direct-ci.com

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.

Hospital & facility affiliations 1

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1245298215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 ERDMAN WAY",
            "address_2": "STE 101",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531805",
            "telephone_number": "617-355-8594",
            "fax_number": "617-730-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 ERDMAN WAY",
            "address_2": "STE 101",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531805",
            "telephone_number": "617-355-8594",
            "fax_number": "617-730-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "FRANCISCO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MA",
            "license": "77974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

Verify at the official NPI Registry.