NPIMap

Individual provider Active NPI

Benson S. Bonyo, D.O.

  • Family Medicine Physician
  • Akron, OH
National Provider Identifier
1386725125
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34007305B Issued in OH
Practice address
1569 Vernon Odom Blvd
Akron, OH 44320-4089
Phone
(330) 867-7544
Fax
(330) 867-7434
NPI assigned
Oct 18, 2006
Last updated
Apr 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34007305B OH Primary

Addresses

Primary practice location

1569 Vernon Odom Blvd
Akron, OH 44320-4089

Mailing address

610 Trellis Green Dr
Akron, OH 44333-1668
Phone (330) 665-4745

Other identifiers 1

IdentifierTypeStateIssuer
2134221MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040226000658 OH Practitioner - Family Practice 0749176774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1569 Vernon Odom Blvd
Akron, OH 44320-4089
Phone (330) 867-7544

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34007305BOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
B S Bonyo DO & Associates Inc Family Medicine CurrentSince Oct 24, 2003 Accepting new patients
Internal Medicine Specialists, Inc PastSince Oct 24, 2003 Accepting new patients
Phoenix Fairlawn Operating Co., LLC Past Accepting new patients
Merriman Operations LLC Past Accepting new patients
Blue Stream Rehab and Nursing LLC Past Accepting new patients
FHS Hickory Ridge, Inc. Past Accepting new patients
Hudson Health and Rehabilitation Center, Inc. Past Accepting new patients
Oak Hill Healthcare, LLC Past Accepting new patients
Buckeye Forest at Akron LLC Past Accepting new patients
Sapphire Health Care, LLC Past Accepting new patients
FHS Fairlawn, Inc. Past Accepting new patients
Divine Rehabilitation and Nursing at Canal Pointe LLC Past Accepting new patients
Remembrance Hospice LLC Family Medicine PastSince Jan 1, 2024 Accepting new patients

Locations

1569 Vernon Odom Blvd
Akron, OH 44320
Phone (330) 867-5192

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16545/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDHBAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDHBAA/Endpoint/BDHBAA

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Momentous Health at RichfieldRichfield, OH, CCN 365370 Skilled nursing facility Adp of the SNF Jun 9, 2025
Highland Square Nursing and RehabilitationAkron, OH, CCN 365316 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Dec 1, 2021
Dec 31, 2021
Dec 1, 2021
Remembrance Hospice LLCMedina, OH, CCN 361729 Hospice Contracted Managing Employee Jan 1, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1386725125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 TRELLIS GREEN DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443331668",
            "telephone_number": "330-665-4745",
            "fax_number": "330-665-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 VERNON ODOM BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204089",
            "telephone_number": "330-867-7544",
            "fax_number": "330-867-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONYO",
        "first_name": "BENSON",
        "middle_name": "S.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007305B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2134221",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.