Active NPI
Anthony William Baffoe-Bonnie, M.D.
- Infectious Disease Physician
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 0101252104
- Practice address
- 2001 Crystal Spring Ave SW
Roanoke, VA 24014-2462 - Phone
- (540) 981-7715
- NPI assigned
- Jun 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 11599 | NV | |
| Infectious Disease Physician | 207RI0200X | 0101252104 | VA | Primary |
Addresses
Primary practice location
2001 Crystal Spring Ave SW
Roanoke, VA 24014-2462
Mailing address
2001 Crystal Spring Ave SW
Roanoke, VA 24014-2462
Phone (540) 981-7715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100509428 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abaffoebonnie5328@direct.carilionclinic.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Infectious Disease
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000
2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925
2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11599 | NV | MD | Internal Medicine Physician |
| 0101252104 | VA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Medical Center | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Carilion Giles Community Hospital | Current | Accepting new patients | |
| Nikos Inpatient Services | Internal Medicine | Past | Accepting new patients |
| Overton Urgent Care | Internal Medicine | Past | Accepting new patients |
| Rabessler MD PC | Internal Medicine | Past | Accepting new patients |
| Northern Nevada Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
| Carilion Medical Center | Past | Accepting new patients |
Locations
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
2001 Crystal Spring Ave SW
Roanoke, VA 24014
Phone (540) 344-5781
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
Interoperability endpoints
- abaffoebonnie5328@direct.carilionclinic.org
Organizations & group practices 9
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.
-
- Multi-Specialty Clinic/Center
- Roanoke, VA
- NPI 1730123472
-
- Critical Access Hospital
- Pearisburg, VA
- NPI 1194718304
-
- Durable Medical Equipment & Medical Supplies
- Galax, VA
- NPI 1639980493
-
- Durable Medical Equipment & Medical Supplies
- Hardy, VA
- NPI 1073324810
-
- General Acute Care Hospital
- Roanoke, VA
- NPI 1033102942
-
- Internal Medicine Physician
- Sparks, NV
- NPI 1013113158
-
- Family Medicine Physician
- Sparks, NV
- NPI 1972751618
Internal Medicine
-
- Internal Medicine Physician
- Jesup, GA
- NPI 1174731970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1386680304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 CRYSTAL SPRING AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240142462",
"telephone_number": "540-981-7715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CRYSTAL SPRING AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240142462",
"telephone_number": "540-981-7715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAFFOE-BONNIE",
"first_name": "ANTHONY",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NV",
"license": "11599",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "VA",
"license": "0101252104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100509428",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abaffoebonnie5328@direct.carilionclinic.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "abaffoebonnie5328@direct.carilionclinic.org",
"address_1": "2001 Crystal Spring Ave SW",
"city": "Roanoke",
"state": "VA",
"country_code": "US",
"postal_code": "240142462",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.