Aldo A Buonanno, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01029713 Issued in IN

Practice address

3660 Rome Dr
Lafayette, IN 47905-4488

Phone

(765) 446-9394

Fax

(765) 447-8875

NPI assigned

Jul 5, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1497786701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 ABBOTSFORD DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460742233",
            "telephone_number": "765-446-9394",
            "fax_number": "765-447-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 ROME DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054488",
            "telephone_number": "765-446-9394",
            "fax_number": "765-447-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONANNO",
        "first_name": "ALDO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01029713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100189010B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gokce Bulgan
• Paula Bulla
• Kayla Bunch, CST
• Haley Bunnell
• Rebecca V Bunnell, CST
• Mark A Buono, MD
• Abigail M. Burcham, SLP
• Jillian Christine Burdick, CRNA
• Jason M Burgett, MD
• Hailey Burkart

• Psychiatry Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.