Individual provider Active NPI

Esteban L. Bonfante Ramirez, MD

  • Pediatric Gastroenterology Physician
  • Anchorage, AK
National Provider Identifier
1497957575
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
225872 Issued in AK
Practice address
3183 Piper Street
Ste S220
Anchorage, AK 99508
Phone
(907) 212-2240
Fax
(907) 212-2872
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 225872 AK Primary
Gastroenterology Physician 207RG0100X ME134767 FL
Pediatric Gastroenterology Physician 2080P0206X ME134767 FL
Pediatric Gastroenterology Physician 2080P0206X 23237 ND
Pediatric Gastroenterology Physician 2080P0206X 4301513015 MI
Pediatric Gastroenterology Physician 2080P0206X 28127 AL

Addresses

Primary practice location

3183 Piper Street
Ste S220
Anchorage, AK 99508

Mailing address

10140 Centurion Pkwy N
Jacksonville, FL 32256-0532
Phone (904) 697-4127

Other practice location 1

1504 Springhill Ave
Suite 1430
Mobile, AL 36604-3207
Phone (251) 405-5147

Other practice location 2

801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000

Other practice location 3

8331 N Davis Hwy
Pensacola, FL 32514-6094
Phone (850) 505-4700

Other identifiers 5

IdentifierTypeStateIssuer
009910442MedicaidAL
279116100MedicaidFL
023485000MedicaidFL
03288866MedicaidMS
51542354OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AK, ND3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180428000003 FL Practitioner - GastroenterologyPractitioner - Pediatric Medicine 4981795440 Reassigns benefits to 1 organization
I20241007003813 AK Practitioner - GastroenterologyPractitioner - Pediatric Medicine 4981795440 Reassigns benefits to 1 organization
I20260514004096 ND Practitioner - Other (Physician) 4981795440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 5074
Sioux Falls, SD 57117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME134767FLMDGastroenterology Physician
4301513015MIMDPediatric Gastroenterology Physician
23237NDMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Nemours Foundation CurrentSince Jan 23, 2018 Accepting new patients
Spectrum Health Primary Care Partners Pediatric Gastroenterology CurrentSince Nov 1, 2024 Accepting new patients
The Nemours Foundation CurrentSince Jan 23, 2018 Accepting new patients
Providence Health & Services-Washington CurrentSince Oct 1, 2024 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Nov 1, 2024 Accepting new patients
Providence Health & Services- Washington CurrentSince Oct 1, 2024 Accepting new patients
The Nemours Foundation Current Accepting new patients
Sacred Heart Health System, Inc. Family Medicine Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
West Florida Regional Medical Center, Inc. Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Banner Desert Medical Center Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600

10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100

8331 N Davis Hwy
Spc Care
Pensacola, FL 32514
Phone (850) 505-4700

8331 N Davis Hwy
Pensacola, FL 32514
Phone (850) 505-4700

35 Michigan St NE
Ste 4150
Grand Rapids, MI 49503
Phone (616) 267-2100

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

Interoperability endpoints

  • Direct secure messaging: ebonfante389921@ak.providencedirect.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1497957575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10140 CENTURION PKWY N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560532",
            "telephone_number": "904-697-4127",
            "fax_number": "904-697-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3183 PIPER STREET",
            "address_2": "STE S220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-212-2240",
            "fax_number": "907-212-2872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1504 Springhill Ave",
            "address_2": "Suite 1430",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366043207",
            "country_code": "US",
            "telephone_number": "251-405-5147",
            "fax_number": "251-434-3852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Broadway N",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581023641",
            "country_code": "US",
            "telephone_number": "701-234-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8331 N Davis Hwy",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325146094",
            "country_code": "US",
            "telephone_number": "850-505-4700",
            "fax_number": "850-505-4711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONFANTE RAMIREZ",
        "first_name": "ESTEBAN",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "AK",
            "license": "225872",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME134767",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "FL",
            "license": "ME134767",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "ND",
            "license": "23237",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "MI",
            "license": "4301513015",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "AL",
            "license": "28127",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009910442",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279116100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023485000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03288866",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51542354",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.