Active NPI
Joseph Bonvillain, MD
- Orthopaedic Surgery Physician
- Covington, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 303155
- Practice address
- 19343 Sunshine Ave
Covington, LA 70433-8834 - Phone
- (985) 892-5117
- Fax
- (985) 892-5128
- NPI assigned
- May 3, 2010
- Last updated
- Jan 31, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 303155 | LA | Primary |
Addresses
Primary practice location
19343 Sunshine Ave
Covington, LA 70433-8834
Mailing address
19343 Sunshine Ave
Covington, LA 70433-8834
Phone (985) 892-5117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2102885 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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
- Orthopedic Surgery
- Education
- Louisiana State University School of Medicine in New Orleans, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19343 Sunshine Ave
Covington, LA 70433-8834
Phone (985) 892-5117
4633 Wichers Dr
Marrero, LA 70072-3096
Phone (504) 347-5421
Hospital & facility affiliations
- Southeast Louisiana Home Health, LLC
- Avala
- St Tammany Parish Hospital
- Ochsner Medical Center Acute
- North Oaks Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 58.88 of 100
- Quality
- 54.69
- Promoting interoperability
- 71
- Improvement activities
- 20
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LMG, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| LMG LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Guidry Physical Therapy Services LLC | Past | Accepting new patients |
Locations
19343 Sunshine Ave
Covington, LA 70433
Phone (985) 892-5117
4633 Wichers Dr
Marrero, LA 70072
Phone (504) 347-5421
Interoperability endpoints
- joseph.bonvillain.1@2046.direct.athenahealth.com
- joseph.bonvillain.1@1179.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Metairie, LA
- NPI 1871919936
-
- Orthopaedic Surgery Physician
- Covington, LA
- NPI 1356807663
-
dba Restore Physical Therapy
- Physical Therapy Clinic/Center
- Covington, LA
- NPI 1407126733
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
-
dba Ochsner Medical Center Acute
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- Home Health Agency
- Covington, LA
- NPI 1386610848
-
dba St Tammany Physicians Network
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
dba Northlake Pulmonary Associates at St Tammany Parish Hospital
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
dba St. Tammany Parish Hospital
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1346567146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19343 SUNSHINE AVE",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338834",
"telephone_number": "985-892-5117",
"fax_number": "985-892-5128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19343 SUNSHINE AVE",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338834",
"telephone_number": "985-892-5117",
"fax_number": "985-892-5128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONVILLAIN",
"first_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-03",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "303155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2102885",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.