Individual provider Active NPI

Hugo Bonatti, MD

  • Surgery Physician
  • Baltimore, MD
National Provider Identifier
1861609869
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D75969 Issued in MD
Practice address
419 W Redwood St Ste 300
Baltimore, MD 21201
Phone
(667) 214-1718
Fax
(410) 328-5919
NPI assigned
May 17, 2007
Last updated
May 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0109542048 VA
Transplant Surgery Physician 204F00000X 0109542048 VA
Transplant Surgery Physician 204F00000X D75969 MD
Surgery Physician 208600000X D75969 MD Primary

Addresses

Primary practice location

419 W Redwood St Ste 300
Baltimore, MD 21201

Mailing address

PO Box 64226
Baltimore, MD 21264-4226
Phone (667) 214-1734

Other identifiers 1

IdentifierTypeStateIssuer
1861609869MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130820000436 MD Practitioner - General SurgeryPractitioner - Surgical Oncology 6002976800 Reassigns benefits to 2 organizations
I20231228002216 DC Practitioner - General SurgeryPractitioner - Surgical Oncology 6002976800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Surgical Oncology
Education
University of Virginia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5191

29 S Greene St
Suite 319
Baltimore, MD 21201-1544

419 W Redwood St
FL 3
Baltimore, MD 21201-1734
Phone (410) 328-5300

827 Linden Ave
Baltimore, MD 21201-4606
Phone (410) 225-8240

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
79.78
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.55 of 100Reported as group
Quality
81.34
Promoting interoperability
100
Improvement activities
40
Cost
70.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux12
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D75969MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Physician Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Aug 26, 2024 Accepting new patients
Maryland General Clinical Practice Group, Inc. CurrentSince Aug 26, 2024 Accepting new patients
University of Maryland Surgical Associates, PA CurrentSince Aug 1, 2024 Accepting new patients
University of Maryland Surgcial Assoc PA Past Accepting new patients
Adventist Physician Services (Wah) Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300

419 W Redwood St
Ste 300
Baltimore, MD 21201
Phone (410) 328-5300

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

827 Linden Ave
Ste B
Baltimore, MD 21201
Phone (410) 225-8230

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

Organizations & group practices 7

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 2

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1861609869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64226",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644226",
            "telephone_number": "667-214-1734",
            "fax_number": "410-706-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21201",
            "telephone_number": "667-214-1718",
            "fax_number": "410-328-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONATTI",
        "first_name": "HUGO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0109542048",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "VA",
            "license": "0109542048",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "MD",
            "license": "D75969",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D75969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861609869",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.