Active NPI
Martin D Bonney Jr., MD
- Emergency Medicine Physician
- Greenwood, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01047187A
- Practice address
- 1700 W Smith Valley Rd Ste C1
Greenwood, IN 46142-1589 - Phone
- (317) 300-4091
- NPI assigned
- Jun 14, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01047187A | IN | Primary |
Addresses
Primary practice location
1700 W Smith Valley Rd Ste C1
Greenwood, IN 46142-1589
Mailing address
1700 W Smith Valley Rd Ste C1
Greenwood, IN 46142-1589
Phone (317) 300-4091
Other practice location 1
727 Hospital Dr
Shelbyville, KY 40065-1660
Phone (502) 647-4347
Other practice location 2
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (131) 752-8814
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50004094 | Other | KY | PASSPORT GROUP # 50000548 |
| 50004275 | Other | KY | PASSPORT GROUP # 1172544 |
| 000000060164 | Other | KY | BCBS OF KY 12 DIGIT # |
| 000000275811 | Other | KY | BCBS OF KY 12 DIGIT # |
| 64040843 | Medicaid | KY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbonney7544@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.82 of 100
- Quality
- 91.66
- Improvement activities
- 40
- Cost
- 78.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam County Hospital | Current | Accepting new patients | |
| Putnam County Hospital | Current | Accepting new patients | |
| Elizabethtown Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Major Hospital | Past | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Past | Accepting new patients | |
| Central Kentucky Emergency Services P.S.C. | Emergency Medicine | Past | Accepting new patients |
| Mce Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556
1542 S Bloomington St
Ste 1100
Greencastle, IN 46135
Phone (765) 658-2700
Interoperability endpoints
- mbonney7544@direct.franciscanalliance.org
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Greencastle, IN
- NPI 1578608188
-
- Rural Health Clinic/Center
- Greencastle, IN
- NPI 1295972412
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Emergency Medicine Physician
- Shelbyville, KY
- NPI 1497750194
-
- Emergency Medicine Physician
- Elizabethtown, KY
- NPI 1528003316
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1629073325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1649275025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 W SMITH VALLEY RD STE C1",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421589",
"telephone_number": "317-300-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W SMITH VALLEY RD STE C1",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461421589",
"telephone_number": "317-300-4091"
}
],
"practiceLocations": [
{
"address_1": "727 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Shelbyville",
"state": "KY",
"postal_code": "400651660",
"country_code": "US",
"telephone_number": "502-647-4347",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8111 S Emerson Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462378601",
"country_code": "US",
"telephone_number": "131-752-8814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONNEY",
"first_name": "MARTIN",
"middle_name": "D",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01047187A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT GROUP # 50000548",
"identifier": "50004094",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT GROUP # 1172544",
"identifier": "50004275",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KY 12 DIGIT #",
"identifier": "000000060164",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF KY 12 DIGIT #",
"identifier": "000000275811",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64040843",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbonney7544@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "8111 S Emerson Ave",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462378601",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.