Individual provider Active NPI

Karen M Bontia, M.D.

  • Neurology Physician
  • Irving, TX
National Provider Identifier
1871695924
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
N8078 Issued in TX
Practice address
2021 N Macarthur Blvd
Ste 150
Irving, TX 75061-2219
Phone
(972) 253-4270
Fax
(972) 401-0458
NPI assigned
Sep 1, 2006
Last updated
May 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X N8078 TX Primary

Addresses

Primary practice location

2021 N Macarthur Blvd
Ste 150
Irving, TX 75061-2219

Mailing address

5425 W Spring Creek Pkwy
Ste 275
Plano, TX 75024-4320
Phone (972) 253-4270

Other identifiers 4

IdentifierTypeStateIssuer
432319099MedicaidME
1484134OtherMECIGNA
7090704OtherMEAETNA
098056OtherMEANTHEM BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110628000405 TX Practitioner - Neurology 6800837816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
North Texas Institute of Neurology and Headache, PAGroup PAC ID 7810035987, 6 clinicians

Practice addresses (Care Compare)

5150 Warren Pkwy
BLDG 8
Frisco, TX 75034-7462
Phone (942) 403-8184

6201 Dallas Pkwy
Suite 100
Plano, TX 75024-4181
Phone (972) 453-1879

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N8078TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathfinders Anesthesia L.L.C. PastSince Jun 15, 2015 Accepting new patients
Neurology Associates of Eastern Maine, P.a. Neurology Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1871695924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY",
            "address_2": "STE 275",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244320",
            "telephone_number": "972-253-4270",
            "fax_number": "972-401-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N MACARTHUR BLVD",
            "address_2": "STE 150",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750612219",
            "telephone_number": "972-253-4270",
            "fax_number": "972-401-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTIA",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N8078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432319099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1484134",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7090704",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "098056",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.