Individual provider Active NPI

Kira O'Neil Bona, M.D.

  • Pediatric Hematology & Oncology Physician
  • Boston, MA
National Provider Identifier
1356501126
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
238781 Issued in MA
Practice address
450 Brookline Ave
Dana 1160
Boston, MA 02215-5418
Phone
(617) 632-4688
Fax
(617) 632-4410
NPI assigned
Jun 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 238781 MA Primary

Addresses

Primary practice location

450 Brookline Ave
Dana 1160
Boston, MA 02215-5418

Mailing address

450 Brookline Ave
Dana 1160
Boston, MA 02215-5418
Phone (617) 632-4688

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
I20110127000231 MA Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 7719166404 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238781MAMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jun 1, 2012 Accepting new patients
Dana-Farber Cancer Institute, Inc. Current Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jun 1, 2012 Accepting new patients
Children's Hospital Pediatric Associates, Inc Pediatric Hematology-Oncology CurrentSince Jul 1, 2012 Accepting new patients

Locations

44 Binney St
#322
Boston, MA 02115
Phone (617) 632-5345

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

450 Brookline Ave
#1160
Boston, MA 02215
Phone (617) 632-4688

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

20 Prospect St
Ste 2
Milford, MA 01757

Interoperability endpoints

  • Direct secure messaging: bona.kira.dfci@direct.partners.masshiway.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1356501126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 BROOKLINE AVE",
            "address_2": "DANA 1160",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155418",
            "telephone_number": "617-632-4688",
            "fax_number": "617-632-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BROOKLINE AVE",
            "address_2": "DANA 1160",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155418",
            "telephone_number": "617-632-4688",
            "fax_number": "617-632-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONA",
        "first_name": "KIRA",
        "middle_name": "O'NEIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-14",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MA",
            "license": "238781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.