Individual provider Active NPI

Kyle Andrew Bonar, M.D.

  • Emergency Medicine Physician
  • Anchorage, AK
National Provider Identifier
1780976977
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
217193 Issued in AK
Practice address
2801 Debarr Rd
Anchorage, AK 99508-2932
Phone
(072) 761-1319
NPI assigned
May 6, 2011
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036149384 IL
Emergency Medicine Physician 207P00000X 217193 AK Primary

Addresses

Primary practice location

2801 Debarr Rd
Anchorage, AK 99508-2932

Mailing address

PO Box 920137
Dallas, TX 75392-0137
Phone (888) 735-4531

Other practice location 1

200 Health Care Dr
Greenville, IL 62246-1154
Phone (618) 664-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL, AK3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140905000654 CA Practitioner - Emergency Medicine 8426276338 Reassigns benefits to 2 organizations
I20190625003440 IL Practitioner - Emergency Medicine 8426276338 Reassigns benefits to 2 organizations
I20241121003147 AK Practitioner - Emergency Medicine 8426276338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denali Emergency Medicine Assoc PCGroup PAC ID 0042102287, 21 clinicians

Practice addresses (Care Compare)

2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 264-1222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.98
Improvement activities
40
Cost
82.67

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036149384ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America - California Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Denali Emergency Medicine Assoc PC Emergency Medicine CurrentSince Sep 19, 2024 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients

Locations

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

4500 Memorial Dr
Belleville, IL 62226
Phone (618) 233-7750

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

900 W Temple Ave
Bldg B
Effingham, IL 62401
Phone (217) 347-1690

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

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.

Hospital & facility affiliations 1

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": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1780976977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920137",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920137",
            "telephone_number": "888-735-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 DEBARR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082932",
            "telephone_number": "072-761-1319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Health Care Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "IL",
            "postal_code": "622461154",
            "country_code": "US",
            "telephone_number": "618-664-1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BONAR",
        "first_name": "KYLE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036149384",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "217193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.