Individual provider Active NPI

Martin D Bonney Jr., MD

  • Emergency Medicine Physician
  • Greenwood, IN
National Provider Identifier
1649275025
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01047187A Issued in IN
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

Updated by the provider on Jul 23, 2021

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 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

IdentifierTypeStateIssuer
50004094OtherKYPASSPORT GROUP # 50000548
50004275OtherKYPASSPORT GROUP # 1172544
000000060164OtherKYBCBS OF KY 12 DIGIT #
000000275811OtherKYBCBS OF KY 12 DIGIT #
64040843MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbonney7544@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050601000515 IN Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 7113916255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.82 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Putnam County Hospital CurrentSince Oct 8, 2020 Accepting new patients
Putnam County Hospital CurrentSince Oct 8, 2020 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.