Emo Bonaminio

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004710 Issued in IL

Practice address

1441 Merchant Dr
Algonquin, IL 60102-1289

Phone

(847) 458-4600

Fax

(847) 458-4602

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: e.bonaminio@direct.meditouchehr.com
• Direct secure messaging: ebonaminio282816@direct.myadvocateaurora.org

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.

• Lake in the Hills Podiatry PC

  • Podiatrist
  • Algonquin, IL
  • NPI 1558376202
  Medicare reassignment NPD
• St. Charles Foot and Ankle Center PC

  • Podiatrist
  • St Charles, IL
  • NPI 1659393692
  Medicare reassignment NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1346256047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 MERCHANT DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025917",
            "telephone_number": "847-458-4600",
            "fax_number": "847-458-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 MERCHANT DR",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601021289",
            "telephone_number": "847-458-4600",
            "fax_number": "847-458-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAMINIO",
        "first_name": "EMO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004710",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ebonaminio282816@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1441 Merchant Dr",
            "city": "ALGONQUIN",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601021289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1441 Merchant Dr",
            "city": "ALGONQUIN",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601021289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Joy Blodgett, PH.D.
• Alexander A Blyth
• Marciann W Bock, APN
• Frank C. Bohnenkamp, MD
• Robert Paul Bohnenstiehl III, APN
• Lauren Marie Boshnick, MD
• Riana Teresa Bosita
• Armand Bracero, PTA
• Laurence Martin Bradley Jr., M.D.
• Hope Brainard, OTR/L

• Podiatrist in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.

Verify at the official NPI Registry.