Jordan Bradley Bonomo, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35.087498 Issued in OH

Practice address

231 Albert Sabin Way
ML 0769
Cincinnati, OH 45267-0769

Phone

(513) 558-5281

Fax

(513) 558-5791

NPI assigned

Jul 26, 2006

Last updated

Jan 29, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Emergency Medicine

Education

Warren Alpert Medical School of Brown University, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Cincinnati Physicians Company LLCGroup PAC ID 2264344480, 1,474 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Cincinnati Medical Center, LLC Hospital, Cincinnati, OH, CCN 360003

Merit-based Incentive Payment System (MIPS)

Final score

82 of 100Reported as group

Quality

65.97

Promoting interoperability

100

Improvement activities

40

Cost

74.01

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jbonomo28236@direct.uchealth.com
• Direct secure messaging: jbonomo3802@direct.bsmhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Cincinnati Physicians Company, LLC

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1801840434
  Medicare reassignment Care Compare group
• University of Cincinnati Medical Center, LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1033154026
  NPD (past)
• Vanguard Medical

  • Emergency Medicine Physician
  • Cincinnati, OH
  • NPI 1457463051
  NPD (past)
• Phoenix Emergency Services of Madison LLC

  • Emergency Medicine Physician
  • Madison, IN
  • NPI 1881683548
  NPD (past)

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

• University of Cincinnati Medical Center, LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1033154026
  Care Compare affiliation
• University of Cincinnati Medical Center, LLC

  dba Alliance Medical Transport Service

  • Ambulance
  • Cincinnati, OH
  • NPI 1689618423

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1679597470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PKWY",
            "address_2": "CENTRAL CREDENTIALING DEPARTMENT ML0806",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061785",
            "telephone_number": "513-245-3667",
            "fax_number": "513-475-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 ALBERT SABIN WAY",
            "address_2": "ML 0769",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452670769",
            "telephone_number": "513-558-5281",
            "fax_number": "513-558-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONOMO",
        "first_name": "JORDAN",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.087498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2737882",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100042390",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200837820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaelyn Bonner
• Ketra Bonner
• Knice La'Re Bonner
• Nneka Bonner
• Sheila Yvonne Bonner, CNP
• Raymond Arthur Bonomo, D.M.D
• Ama Bonsu, APRN
• John Kerry Bonyo, MD, MSCR, MSDS
• Boochies Kitchen
• Ashley Booker

• Emergency Medicine Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.

Verify at the official NPI Registry.