NPIMap

Individual provider Active NPI

Marilyn Judy Bonfili, MD

  • Family Medicine Physician
  • Fairmont, WV
National Provider Identifier
1699775247
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20406 Issued in WV
Practice address
1 Huntington Way Ste 100
Fairmont, WV 26554-8819
Phone
(304) 368-2422
Fax
(304) 368-2426
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20406 WV Primary

Addresses

Primary practice location

1 Huntington Way Ste 100
Fairmont, WV 26554-8819

Mailing address

1 Huntington Way Ste 100
Fairmont, WV 26554-8819
Phone (304) 368-2422

Other identifiers 2

IdentifierTypeStateIssuer
1809565001MedicaidWV
1809565000MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bonfilim@direct.monhealthsys.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070914000609 WV Practitioner - Family Practice 7517051071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monongalia County General Hospital Company 241 clinicians

Practice addresses (Care Compare)

1 Huntington Way
Suite 100
Fairmont, WV 26554-8819
Phone (304) 368-2422

150 Memorial Dr
Kingwood, WV 26537-1141
Phone (304) 329-1400

Hospital & facility affiliations

  • Wvuhs Home Care Home health agency, Clarksburg, WV, CCN 517053
  • Care Partners Home Health Home health agency, Westover, WV, CCN 517100
  • Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024
  • Mon Health Marion Hospital, Whitehall, WV, CCN 510093
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20406WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Primary Care Past Accepting new patients
Monongalia County General Hospital Company Past Accepting new patients

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1699775247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON WAY STE 100",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548819",
            "telephone_number": "304-368-2422",
            "fax_number": "304-368-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON WAY STE 100",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548819",
            "telephone_number": "304-368-2422",
            "fax_number": "304-368-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONFILI",
        "first_name": "MARILYN",
        "middle_name": "JUDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "20406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1809565001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1809565000",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bonfilim@direct.monhealthsys.org",
            "affiliation": "N",
            "endpointDescription": "Mon Health Medical Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Huntington Way Ste 100",
            "city": "Fairmont",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265548819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

Verify at the official NPI Registry.