Individual provider Active NPI

Tania Boniske, MD

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1922444660
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A134213 Issued in CA
Practice address
1430 Tulane Ave
Suite 8509
New Orleans, LA 70112-2632
Phone
(504) 988-3541
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A134213 CA
Internal Medicine Physician 207R00000X A134213 CA Primary

Addresses

Primary practice location

1430 Tulane Ave
Suite 8509
New Orleans, LA 70112-2632

Mailing address

1430 Tulane Ave
Suite 8509
New Orleans, LA 70112-2632
Phone (504) 988-3541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GA2 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
I20190815000960 LA Practitioner - Pulmonary Disease 1557670486 Reassigns benefits to 3 organizations
I20220321001647 GA Practitioner - Critical Care (Intensivists) 1557670486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, 388 clinicians

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-5800

Hospital & facility affiliations

  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A134213CAMDHospitalist Physician
1746WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Medical Center of Illinois CurrentSince Apr 1, 2022 Accepting new patients
Coffee Regional Medical Center, Inc CurrentSince Jan 1, 2022 Accepting new patients
Proctor Health Systems CurrentSince Apr 1, 2022 Accepting new patients
Proctor Health Systems Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 1, 2019 Accepting new patients
Coffee Regional Medical Center, Inc CurrentSince Jan 1, 2022 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 1, 2019 Accepting new patients
Coffee Regional Medical Center, Inc Current Accepting new patients
Methodist Medical Center of Illinois Internal Medicine Current Accepting new patients
University Medical Center Management Corporation Past Accepting new patients
Peacehealth PastSince May 14, 2025 Accepting new patients

Locations

1101 Ocilla Rd
Douglas, GA 31533
Phone (912) 383-5641

4320 Houma Blvd
Ste 603
Metairie, LA 70006

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1430 Tulane Ave
Ste 8509
New Orleans, LA 70112
Phone (504) 988-3541

1430 Tulane Ave
New Orleans, LA 70112
Phone (504) 585-6485

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1415 Tulane Ave
Fl 7
New Orleans, LA 70112
Phone (504) 988-5194

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1922444660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SUITE 8509",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SUITE 8509",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONISKE",
        "first_name": "TANIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A134213",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A134213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.