Individual provider Active NPI

Ricardo M Bonnor, M.D.

  • Surgery Physician
  • Houston, TX
National Provider Identifier
1992763270
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L5679 Issued in TX
Practice address
18211 Katy Fwy Ste 250
Houston, TX 77094-1398
Phone
(281) 579-5638
Fax
(281) 579-5636
NPI assigned
May 3, 2006
Last updated
Jan 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X L5679 TX Primary

Addresses

Primary practice location

18211 Katy Fwy Ste 250
Houston, TX 77094-1398

Mailing address

18211 Katy Fwy Ste 250
Houston, TX 77094-1398
Phone (281) 579-5638

Other identifiers 4

IdentifierTypeStateIssuer
7450629OtherTXAETNA
4154816OtherTXCIGNA
P00427347OtherTXRAILROAD MEDICARE
8W5120OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Houston Surgical Associates, P.a. Surgery PastSince Jan 24, 1997 Accepting new patients
Texas Surgical Arts PastSince Aug 1, 2006 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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1992763270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18211 KATY FWY STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941398",
            "telephone_number": "281-579-5638",
            "fax_number": "281-579-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18211 KATY FWY STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770941398",
            "telephone_number": "281-579-5638",
            "fax_number": "281-579-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNOR",
        "first_name": "RICARDO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L5679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7450629",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4154816",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00427347",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8W5120",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.