Active NPI
Bonnie Kane
- Physician Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA031160
- Practice address
- 110 Irving St NW
Washington, DC 20010-3017 - Phone
- (202) 877-6733
- NPI assigned
- Jul 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0005831 | MD | |
| Physician Assistant | 363A00000X | PA031160 | DC | Primary |
Addresses
Primary practice location
110 Irving St NW
Washington, DC 20010-3017
Mailing address
1884 Columbia Rd NW Apt 700
Washington, DC 20009-5133
Phone (502) 741-6430
Other practice location 1
900 23rd St NW
Washington, DC 20037-2342
Phone (202) 715-4000
Other names 1
- Bonnie Leksrisawat
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 80.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.48
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0005831 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| District Hospital Partners LP | Current | Accepting new patients | |
| District Hospital Partners L P | Current | Accepting new patients | |
| Washington Hospital Center Corp | Current | Accepting new patients | |
| WHC Emerg Phys | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients |
Locations
110 Irving St NW
Rm BA94
Washington, DC 20010
Phone (202) 877-6429
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733
Organizations & group practices 10
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.
-
- General Acute Care Hospital
- Washington, DC
- NPI 1487640207
-
- Neurological Surgery Physician
- Washington, DC
- NPI 1407870124
-
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1326450156
-
- Family Nurse Practitioner
- Washington, DC
- NPI 1912517756
-
- Critical Care Medicine (Internal Medicine) Physician
- Washington, DC
- NPI 1205562816
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- General Practice Physician
- Washington, DC
- NPI 1629394424
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1306260625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615507200000",
"number": "1649656687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1884 COLUMBIA RD NW APT 700",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200095133",
"telephone_number": "502-741-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200103017",
"telephone_number": "202-877-6733"
}
],
"practiceLocations": [
{
"address_1": "900 23rd St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200372342",
"country_code": "US",
"telephone_number": "202-715-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANE",
"first_name": "BONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-31",
"last_updated": "2021-03-12",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0005831",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA031160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BONNIE",
"last_name": "LEKSRISAWAT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.