Individual provider Active NPI

Arnulfo B Bonavente, M.D.

  • Family Medicine Physician
  • Upper Marlboro, MD
National Provider Identifier
1619973534
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0045630 Issued in MD
Practice address
6409 Crain Hwy
Route 301
Upper Marlboro, MD 20772-4139
Phone
(301) 952-8614
Fax
(301) 627-1603
NPI assigned
Jun 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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 D0045630 MD Primary

Addresses

Primary practice location

6409 Crain Hwy
Route 301
Upper Marlboro, MD 20772-4139

Mailing address

10403 Hospital Dr
Ste G4
Clinton, MD 20735-3137
Phone (301) 856-3019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20101210000497 MD Practitioner - Family Practice 7517154982 Reassigns benefits to 5 organizations
I20130424000034 DC Practitioner - Family Practice 7517154982 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alignmed Medical Group PC 62 clinicians

Practice addresses (Care Compare)

7520 Surratts Rd
Clinton, MD 20735-3353
Phone (301) 856-1660

Hospital & facility affiliations

  • Luminis Health Gilchrist Life Care Institute Hospice, Annapolis, MD, CCN 211546
  • Compass Regional Hospice, Inc Hospice, Centreville, MD, CCN 211529
  • Complete Care at Corsica Hills LLC Nursing home, Centreville, MD, CCN 215114
  • Future Care Chesapeake Nursing home, Arnold, MD, CCN 215186

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0045630MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics Rehabilitative Services LLC Family Medicine CurrentSince Jan 16, 2025 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Nov 26, 2024 Accepting new patients
Mdics at Civista LLC CurrentSince Jan 16, 2025 Accepting new patients
Alignmed Medical Group, PC CurrentSince Nov 18, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Nov 18, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Nov 18, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2017 Accepting new patients
Alignmed Partners, PC CurrentSince Nov 18, 2024 Accepting new patients
Mdics Rehabilitative Services - Ltcaco LLC CurrentSince Nov 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2017 Accepting new patients
Medical & Surgical Clinics of Southern Maryland Inc Family Medicine Past Accepting new patients
Complete Care at Corsica Hills LLC Past Accepting new patients
Bay Manor Nursing Home, Inc. Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

10403 Hospital Dr
Ste G4
Clinton, MD 20735
Phone (301) 856-3019

7501 Surratts Rd
Ste 104
Clinton, MD 20735
Phone (301) 877-4689

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300

6409 Crain Hwy
Upper Marlboro, MD 20772
Phone (301) 952-8614

6409 Crain Hwy
#301
Uppr Marlboro, MD 20772
Phone (301) 952-8614

10 Saint Patricks Dr
Ste 203
Waldorf, MD 20603
Phone (301) 396-8071

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 and National Provider Directory roles.

View all 13

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1619973534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10403 HOSPITAL DR",
            "address_2": "STE G4",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353137",
            "telephone_number": "301-856-3019",
            "fax_number": "301-856-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 CRAIN HWY",
            "address_2": "ROUTE 301",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724139",
            "telephone_number": "301-952-8614",
            "fax_number": "301-627-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAVENTE",
        "first_name": "ARNULFO",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0045630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.