Active NPI
Arnulfo B Bonavente, M.D.
- Family Medicine Physician
- Upper Marlboro, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0045630
- 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
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 |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
7520 Surratts Rd
Clinton, MD 20735-3353
Phone (301) 856-1660
Hospital & facility affiliations
- Luminis Health Gilchrist Life Care Institute
- Compass Regional Hospice, Inc
- Complete Care at Corsica Hills LLC
- Future Care Chesapeake
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0045630 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdics Rehabilitative Services LLC | Family Medicine | Current | Accepting new patients |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Mdics at Civista LLC | Current | Accepting new patients | |
| Alignmed Medical Group, PC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Genesis Eldercare Physician Services LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Alignmed Partners, PC | Current | Accepting new patients | |
| Mdics Rehabilitative Services - Ltcaco LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | 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.
-
- Geriatric Medicine (Internal Medicine) Physician
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- NPI 1366289423
DC, MD
-
- Geriatric Medicine (Internal Medicine) Physician
- Salisbury, MD
- NPI 1881635183
MD
-
- Internal Medicine Physician
- La Plata, MD
- NPI 1033005475
DC, MD
-
- Internal Medicine Physician
- Glen Burnie, MD
- NPI 1124313309
DC, Family Medicine, MD
-
- Geriatric Medicine (Internal Medicine) Physician
- Gardendale, AL
- NPI 1881109452
DC, MD
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1588690135
DC
-
- Geriatric Medicine (Internal Medicine) Physician
- Towson, MD
- NPI 1699280511
-
- Hospitalist Physician
- La Plata, MD
- NPI 1225323496
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Skilled Nursing Facility
- Arnold, MD
- NPI 1174527055
-
- Skilled Nursing Facility
- Centreville, MD
- NPI 1871173062
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Centreville, MD
- NPI 1396793618
Hospice
-
- Skilled Nursing Facility
- Centreville, MD
- NPI 1871173062
Nursing home
-
- Community Based Hospice Care Agency
- Annapolis, MD
- NPI 1992462667
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.