NPIMap

Individual provider Active NPI

Phyllis N Bonaminio, MD

  • Rheumatology Physician
  • Oak Lawn, IL
National Provider Identifier
1841289527
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036104900 Issued in IL
Practice address
5540 W 111TH St
Oak Lawn, IL 60453-5574
Phone
(708) 423-8440
Fax
(708) 658-2962
NPI assigned
Oct 17, 2005
Last updated
Dec 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 036104900 IL Primary

Addresses

Primary practice location

5540 W 111TH St
Oak Lawn, IL 60453-5574

Mailing address

7600 W College Dr
Palos Heights, IL 60463-1001
Phone (708) 361-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050916000866 IL Practitioner - RheumatologyPractitioner - Internal Medicine 5294768420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parkview Orthopaedic Group S CGroup PAC ID 9335134691, 31 clinicians

Practice addresses (Care Compare)

7600 W College Dr
Palos Heights, IL 60463-1001
Phone (708) 361-0880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.88 of 100Reported as group
Quality
65.59
Promoting interoperability
71
Improvement activities
40
Cost
68.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Parkview Orthopaedic Group S C Current Accepting new patients
Parkview Orthopaedic Group S C CurrentSince Apr 1, 2016 Accepting new patients
Parkview Orthopaedic Group S C CurrentSince Apr 1, 2016 Accepting new patients

Locations

10060 191st St
Mokena, IL 60448
Phone (708) 361-0600

688 Cedar Crossings Dr
New Lenox, IL 60451
Phone (815) 727-3030

4710 W 95th St
Ste B1
Oak Lawn, IL 60453
Phone (708) 422-7207

7600 W College Dr
Palos Heights, IL 60463
Phone (708) 361-0600

7600 W College Dr
Ste 3
Palos Heights, IL 60463
Phone (708) 361-0600

Interoperability endpoints

  • Direct secure messaging: phyllis.bonaminio.p1@direct.parkviewortho.nextgenshare.com

Organizations & group practices 3

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 8

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": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1841289527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631001",
            "telephone_number": "708-361-0600",
            "fax_number": "708-923-2329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 W 111TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535574",
            "telephone_number": "708-423-8440",
            "fax_number": "708-658-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAMINIO",
        "first_name": "PHYLLIS",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036104900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.