Individual provider Active NPI

Bonita Banerjee, D.O.

  • Emergency Medicine Physician
  • Vienna, VA
National Provider Identifier
1780767053
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
012201915 Issued in VA
Practice address
180 Maple Ave W
Vienna, VA 22180-5727
Phone
(571) 363-3539
Fax
(571) 363-3540
NPI assigned
Oct 23, 2006
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A18214 CA
Emergency Medicine Physician 207P00000X 012201915 VA Primary
Internal Medicine Physician 207R00000X BB9985966 VA

Addresses

Primary practice location

180 Maple Ave W
Vienna, VA 22180-5727

Mailing address

PSC 50 Box 987
Apo, AE 09494-0010
Phone (202) 255-4015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120730000146 VA Practitioner - Emergency MedicinePractitioner - Osteopathic Manipulative Medicine 8325204746 Reassigns benefits to 3 organizations
I20120802000329 DC Practitioner - Emergency MedicinePractitioner - Osteopathic Manipulative Medicine 8325204746 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
84.42
Promoting interoperability
100
Improvement activities
40
Cost
77.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18214CAMDEmergency Medicine Physician
012201915VAMDEmergency Medicine Physician
BB9985966VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince May 24, 2013 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Inova Ucc LLC CurrentSince May 16, 2023 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince May 24, 2013 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Internal Medicine CurrentSince May 14, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients

Locations

2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000

Organizations & group practices 9

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1780767053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 50 BOX 987",
            "city": "APO",
            "state": "AE",
            "postal_code": "094940010",
            "telephone_number": "202-255-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MAPLE AVE W",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805727",
            "telephone_number": "571-363-3539",
            "fax_number": "571-363-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANERJEE",
        "first_name": "BONITA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A18214",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "012201915",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "BB9985966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.