Individual provider Active NPI

Carmel F Bonnaig, MD

  • Emergency Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1558331272
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Practice address
11123 S Towne SQ
Ste. E
Saint Louis, MO 63123-7816
Phone
(314) 487-4537
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X IL Primary

Addresses

Primary practice location

11123 S Towne SQ
Ste. E
Saint Louis, MO 63123-7816

Mailing address

4251 W Irving Park Rd
Chicago, IL 60641-2938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130212000156 TX Practitioner - Emergency Medicine 1456337229 Reassigns benefits to 3 organizations
I20151005003090 IL Practitioner - Emergency Medicine 1456337229 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036075371ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Emergency Physicians Medical Group SC Emergency Medicine CurrentSince Dec 2, 2019 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Mar 31, 2014 Accepting new patients
US Health Dept of Health & Human Services Current Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Mar 31, 2014 Accepting new patients
Department of Health & Human Services PHS IHS CurrentSince May 20, 2017 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Sep 27, 2013 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility PastSince Jun 1, 2013 Accepting new patients
Emergency Department Associates, P.C. Emergency Medicine Past Accepting new patients
Marion Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Emergency Medical Specialist, S.C Emergency Medicine Past Accepting new patients
New Century Physicians of Southern Illinois Inc Emergency Medicine Past Accepting new patients

Locations

7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310

350 E Devon Ave
Itasca, IL 60143

425 7th St NW
Cass Lake, MN 56633
Phone (218) 335-3200

669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100

Interoperability endpoints

  • Direct secure messaging: dbonnaig@yourcarecommunity.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1558331272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 W IRVING PARK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11123 S TOWNE SQ",
            "address_2": "STE. E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237816",
            "telephone_number": "314-487-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNAIG",
        "first_name": "CARMEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.