Individual provider Active NPI

Arturo Jose Bonnin, MD

  • Allergy & Immunology Physician
  • Centerville, OH
National Provider Identifier
1790761823
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35 063692 Issued in OH
Practice address
8039 Washington Village Drive
Suite #100
Centerville, OH 45458-3859
Phone
(937) 435-8999
Fax
(937) 435-4211
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 35 063692 OH Primary

Addresses

Primary practice location

8039 Washington Village Drive
Suite #100
Centerville, OH 45458-3859

Mailing address

8039 Washington Village Drive
Suite #100
Centerville, OH 45458
Phone (937) 435-8999

Other identifiers 1

IdentifierTypeStateIssuer
0893476MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050601000065 OH Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 6204733199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.99 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35 063692OHMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Allergy Associates, Inc. Allergy & Immunology CurrentSince Oct 21, 1994 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3121 Evelyn Dr
Ste 100
Beavercreek, OH 45434
Phone (937) 320-1830

8039 Washington Village Dr
Ste 100
Dayton, OH 45458
Phone (937) 435-8999

8654 N Main St
Dayton, OH 45415
Phone (937) 435-8999

634 N Vandemark Rd
#100
Sidney, OH 45365
Phone (937) 492-4600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1790761823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8039 WASHINGTON VILLAGE DRIVE",
            "address_2": "SUITE #100",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45458",
            "telephone_number": "937-435-8999",
            "fax_number": "937-435-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8039 WASHINGTON VILLAGE DRIVE",
            "address_2": "SUITE #100",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454583859",
            "telephone_number": "937-435-8999",
            "fax_number": "937-435-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNIN",
        "first_name": "ARTURO",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35 063692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0893476",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.