Individual provider Active NPI

Kathryn Bonafede, MD

  • Family Medicine Physician
  • Raymond, NH
National Provider Identifier
1699938951
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15401 Issued in NH
Practice address
128 Route 27
Raymond, NH 03077-1220
Phone
(603) 895-3351
Fax
(603) 895-0773
NPI assigned
Jul 8, 2008
Last updated
Oct 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 237180 MA
Family Medicine Physician 207Q00000X 15401 NH Primary

Addresses

Primary practice location

128 Route 27
Raymond, NH 03077-1220

Mailing address

128 Route 27
Raymond, NH 03077-1220
Phone (603) 895-3351

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20120207000333 NH Practitioner - Family Practice 2264699073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Geisel School of Medicine at Dartmouth, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lamprey Health Care IncGroup PAC ID 3577535319, 52 clinicians

Practice addresses (Care Compare)

207 S Main St
Newmarket, NH 03857-1843
Phone (603) 659-3106

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237180MAMDFamily Medicine Physician
15401NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physicians LLC CurrentSince Feb 14, 2022 Accepting new patients
Lamprey Health Care Inc CurrentSince Oct 17, 2011 Accepting new patients
Core Physicians, LLC Family Medicine CurrentSince Feb 14, 2022 Accepting new patients
Lamprey Health Care Inc Family Medicine Current Accepting new patients
Lamprey Health Care Inc Family Medicine CurrentSince Oct 17, 2011 Accepting new patients

Locations

3 Alumni Dr
Ste 301
Exeter, NH 03833
Phone (603) 658-1180

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

7 Holland Way
#1
Exeter, NH 03833

207 S Main St
Newmarket, NH 03857
Phone (603) 659-3106

128 State Route 27
Raymond, NH 03077

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kathryn.bonafede.1@28541.direct.athenahealth.com
  • Direct secure messaging: kbonafede507184@direct.bilh.masshiway.net

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1699938951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ROUTE 27",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030771220",
            "telephone_number": "603-895-3351",
            "fax_number": "603-895-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ROUTE 27",
            "city": "RAYMOND",
            "state": "NH",
            "postal_code": "030771220",
            "telephone_number": "603-895-3351",
            "fax_number": "603-895-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAFEDE",
        "first_name": "KATHRYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "237180",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "15401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymond, NH

Sources for this page

Verify at the official NPI Registry.