Active NPI
Bonnie Shanis, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Ambler, PA
National Provider Identifier
1497794200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD018891E
- Practice address
- 1 Conrad Dr
Ambler, PA 19002-4008 - Phone
- (215) 542-5899
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD018891E | PA | Primary |
Addresses
Primary practice location
1 Conrad Dr
Ambler, PA 19002-4008
Mailing address
1 Conrad Dr
Ambler, PA 19002-4008
Phone (215) 542-5899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110209000472 | PA | Practitioner - Endocrinology | 6002096948 | Practice locations: Ambler, PA; Doylestown, PA; Lansdale, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Hahnemann University College of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1 Conrad Dr
Ambler, PA 19002-4008
1 Conrad Place
Ambler, PA 19002-4008
Phone (215) 542-5899
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD018891E | PA | MD | Endocrinology, Diabetes & Metabolism Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497794200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CONRAD DR",
"city": "AMBLER",
"state": "PA",
"postal_code": "190024008",
"telephone_number": "215-542-5899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CONRAD DR",
"city": "AMBLER",
"state": "PA",
"postal_code": "190024008",
"telephone_number": "215-542-5899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANIS",
"first_name": "BONNIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "PA",
"license": "MD018891E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ambler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.