Patrick Lyons Bonneval, M.D.

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

MD.202500 Issued in LA

Practice address

1 Galleria Blvd Ste 100
Metairie, LA 70001-7597

Phone

(504) 833-0111

NPI assigned

Jun 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Emergency MedicineAlso: Peripheral Vascular Disease

Education

Louisiana State University School of Medicine in Shreveport, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gitter Vein InstituteGroup PAC ID 0840456422, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gitter Vein Institute

  • Vascular Surgery Physician
  • Metairie, LA
  • NPI 1295095735
  Medicare reassignment Care Compare group NPD
• Ascension Emergency Physicians LLC

  • Emergency Medicine Physician
  • Gonzales, LA
  • NPI 1699118505
  Medicare reassignment NPD
• Thibodaux Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Thibodaux, LA
  • NPI 1568910503
  Medicare reassignment NPD
• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059
  NPD (past)
• C&M Medical Services-St Elizabeth LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Gonzales, LA
  • NPI 1639474257
  NPD (past)
• Red Stick Emergency Group LLC

  • Emergency Medicine Physician
  • Baton Rouge, LA
  • NPI 1275705998
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1942461876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8155 JEFFERSON HWY APT 402",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GALLERIA BLVD STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017597",
            "telephone_number": "504-833-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNEVAL",
        "first_name": "PATRICK",
        "middle_name": "LYONS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.202500",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "PGY.1.EKL-EMR",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "LA",
            "license": "MD.202500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boncare Home Health LLC
• Kristin Bond
• Rhonda Seymour Bonds, RN
• Leigh Lorraine Bondurant, PLPC
• Robin B Bone, M.D.
• Lauren Elizabeth Bono Sunshine, LCSW
• Bonsai Medical LLC
• Laurie Bonura, LMSW, MED
• Lindsey Bonura, FNP
• Marshall Keller Book, MD

• Phlebology Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Phlebology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.