Victor J Bonuel, MD
Individual provider Active NPI Internal Medicine Physician · Henderson, NV
NPI 1801869862 · NPPES record last updated Aug 8, 2013
Key facts
- NPI
- 1801869862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 7208 (NV)
- Practice address
- 2845 Siena Heights Dr
Henderson, NV 89052-4153 - Phone
- (702) 617-1227
- Fax
- (702) 560-2928
- NPI assigned
- Feb 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.43 of 100
- Quality
- 65.59
- Improvement activities
- 40
- Cost
- 64.54
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040507000944 | NV | Practitioner - Internal Medicine | 8224027099 | Reassigns benefits to 1 organization |
| I20191210003591 | AL | Practitioner - Internal Medicine | 8224027099 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7208 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care PA | Current |
Accepting new patients | |
| American Family Care, LLC | Current |
Accepting new patients | |
| Healthcare Partners Medical Group Coats LTD | Internal Medicine | Current | Accepting new patients |
| American Family Care, LLC | Current |
Accepting new patients | |
| Dr. Terry D. Johnson, P.a. | Past | Accepting new patients | |
| Linda L. Johnson MD, LTD | Past | Accepting new patients | |
| Physicians Medical Center Kaufman, LTD | Past |
Accepting new patients | |
| Canyon Gate Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
Locations
919 Odum Rd
Gardendale, AL 35071
Phone (205) 351-0149
3700 Cahaba Beach Rd
Hoover, AL 35242
Phone (205) 403-8902
8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711
149 N Gibson Rd
Ste H
Henderson, NV 89014
Phone (702) 558-6275
5850 Polaris Ave
Ste 100
Las Vegas, NV 89118
Phone (702) 739-9957
255 Glendale Ave
Ste 12
Sparks, NV 89431
Phone (775) 356-8181
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 7208 | NV | Yes |
Addresses
Primary practice location
2845 Siena Heights Dr
Henderson, NV 89052-4153
Mailing address
PO Box 15645
Las Vegas, NV 89114-5645
Phone (702) 507-2419
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801869862 | Medicaid | NV |
Other providers in Henderson, NV
- Veronica Bonilla
- George E Bonn
- Blanche Y Bonnick Murray
- Bonnie J Fraser MD PC
- Nida E Bonuel
- Breanna Booker
- Jazmyne Booker
- Tamara Booker
- Thomas James Booker
- Eugene Isaac Boone
All providers in Henderson, NV · Internal Medicine Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.