Active NPI
Anthony Robert Buonanno, M.D.
- Orthopaedic Surgery Physician
- Johnston, RI
National Provider Identifier
1831157759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD05345
- Practice address
- 1524 Atwood Ave
Suite 140
Johnston, RI 02919-3228 - Phone
- (401) 351-6200
- Fax
- (401) 351-6201
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD05345 | RI | Primary |
Addresses
Primary practice location
1524 Atwood Ave
Suite 140
Johnston, RI 02919-3228
Mailing address
1524 Atwood Ave
Suite 140
Johnston, RI 02919-3228
Phone (401) 351-6200
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050397249 | Other | MULTIPLANS | |
| 050397249 | Other | PEQUOT PLUS HEALTH PLANS | |
| 103714900 | Other | U.S. DEPT. OF LABOR-WC | |
| 000364 | Other | RI | BLUECHIP OF RI |
| 050397249 | Other | FIRSTHLTH/COVENTRY/HCVM | |
| 27239 | Other | RI | NEIGHBORHOOD HEALTH PLANS |
| RI5354/050397249 | Other | WORKERS COMPENSATION PLAN | |
| AB-01884 | Medicaid | RI | |
| 050397249 | Other | UNITEDHEALTHCARE | |
| 0900138 | Other | UNITEDHEALTHCARE | |
| 2287 | Other | RI | BC BS OF RI |
| 3179262-0001 | Other | CIGNA | |
| 4392040 | Other | AETNA | |
| CD1829 | Other | RAILROAD MEDICARE | |
| R000315/050397249 | Other | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040604000154 | RI | Practitioner - Orthopedic Surgery | 4789666520 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopedics Inc. | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1524 Atwood Ave
Ste 140
Johnston, RI 02919
Phone (401) 351-6200
1524 Atwood Ave
Providence, RI 02919
Phone (401) 272-2110
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Johnston, RI
- NPI 1861618290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1831157759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 ATWOOD AVE",
"address_2": "SUITE 140",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193228",
"telephone_number": "401-351-6200",
"fax_number": "401-351-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 ATWOOD AVE",
"address_2": "SUITE 140",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029193228",
"telephone_number": "401-351-6200",
"fax_number": "401-351-6201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUONANNO",
"first_name": "ANTHONY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "RI",
"license": "MD05345",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLANS",
"identifier": "050397249",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEQUOT PLUS HEALTH PLANS",
"identifier": "050397249",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. DEPT. OF LABOR-WC",
"identifier": "103714900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP OF RI",
"identifier": "000364",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTHLTH/COVENTRY/HCVM",
"identifier": "050397249",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLANS",
"identifier": "27239",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION PLAN",
"identifier": "RI5354/050397249",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AB-01884",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "050397249",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "0900138",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF RI",
"identifier": "2287",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3179262-0001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4392040",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CD1829",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "R000315/050397249",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.