NPIMap

Individual provider Active NPI

Bonu Kapoor-Mohimen, MD

  • Family Medicine Physician
  • Weymouth, MA
National Provider Identifier
1740446087
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
238878 Issued in MA
Practice address
90 Libbey Industrial Pkwy
Weymouth, MA 02189-3129
Phone
(781) 682-5900
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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 238878 MA Primary

Addresses

Primary practice location

90 Libbey Industrial Pkwy
Weymouth, MA 02189-3129

Mailing address

90 Libbey Industrial Pkwy
Weymouth, MA 02189-3129
Phone (781) 682-5900

Other identifiers 16

IdentifierTypeStateIssuer
042297845OtherMULTI-PLAN
097268OtherTUFTS HEALTH CARE
042297845OtherGREAT WEST HEALTH CARE
042297845OtherHVMA/FIRST HEALTH/COVENTRY
1740446087OtherNEIGHBORHOOD HEALTH PLAN
3293013OtherCIGNA
AA137192OtherHARVARD PILGRIM
042297845OtherTRICARE
042297845OtherGIC/UNICARE
1740446087OtherFALLON HEALTH CARE
2166305MedicaidMA
9475264OtherAETNA
J44362OtherMABCBSMA
097268OtherTUFTS MEDICARE PREFERRED
P00724386OtherMEDICARE RR
042297845OtherUNITED HEALTH CARE

Other names 1

  • Bonu Kapoor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MS, LA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090409000101 MA Practitioner - Family Practice 5395812234 Reassigns benefits to 2 organizations
I20241212001013 MS Practitioner - Family Practice 5395812234 Reassigns benefits to 1 organization
I20241212001642 LA Practitioner - Family Practice 5395812234 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238878MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Washington Health Services Association CurrentSince Aug 1, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 28, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 28, 2024 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Medical Care of Boston Management Corporation CurrentSince Feb 19, 2013 Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Ochsner Mississippi, LLC CurrentSince Oct 28, 2024 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Oct 28, 2024 Accepting new patients
Cloud Health Medical Group of California, P.C. Family Medicine Past Accepting new patients
South Shore Medical Center, Inc Past Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

93 Pond St
Sharon, MA 02067
Phone (781) 784-9212

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

Interoperability endpoints

  • Direct secure messaging: bonu.kapoor-mohimen.1@25598.direct.athenahealth.com
  • Direct secure messaging: bonu.kapoor.1@19957.direct.athenahealth.com
  • Direct secure messaging: bonu.kapoor-mohimen.1@30093.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1740446087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LIBBEY INDUSTRIAL PKWY",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893129",
            "telephone_number": "781-682-5900",
            "fax_number": "781-331-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LIBBEY INDUSTRIAL PKWY",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893129",
            "telephone_number": "781-682-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR-MOHIMEN",
        "first_name": "BONU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "238878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI-PLAN",
            "identifier": "042297845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH CARE",
            "identifier": "097268",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST HEALTH CARE",
            "identifier": "042297845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HVMA/FIRST HEALTH/COVENTRY",
            "identifier": "042297845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "1740446087",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3293013",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA137192",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "042297845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GIC/UNICARE",
            "identifier": "042297845",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HEALTH CARE",
            "identifier": "1740446087",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2166305",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9475264",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMA",
            "identifier": "J44362",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS MEDICARE PREFERRED",
            "identifier": "097268",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00724386",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "042297845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONU",
            "last_name": "KAPOOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Weymouth, MA

Sources for this page

Verify at the official NPI Registry.