BONTE GBEMUDU M.D.
NPI 1104137256
Family Medicine in Goodyear, AZ

Q: What is Bonte Gbemudu's NPI number?

The NPI number for Bonte Gbemudu is 1104137256. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Q: What is Bonte Gbemudu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bonte Gbemudu was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 23, 2010PECOS Enrolled

13471 W CORNERSTONE BLVD, GOODYEAR, AZ 85395(877) 809-5092(623) 213-8808 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Bonte Gbemudu M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONTE GBEMUDU M.D. (NPI 1104137256) is an individual family medicine provider in Goodyear, Arizona, licensed in Arizona (54480) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2010).

NPPES Registry Identity

NPI1104137256

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBONTE GBEMUDUCredential: M.D.

Location Address13471 W CORNERSTONE BLVDGoodyear, AZ 85395-2713

Mailing Address3033 N Central Ave Ste 145Phoenix, AZ 85012-2808 · (877) 809-5092

Phone(877) 809-5092

Fax(623) 213-8808

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2010

Enumeration DateJune 23, 2010

Last NPPES UpdateJune 3, 2019

✔ NPI 1104137256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in AZ · 54480

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

13471 W CORNERSTONE BLVD, Goodyear, AZ 85395

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Other Identifiers 1

Medicaid298755AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonte Gbemudu M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335377720

PECOS Enrollment IDI20250930002128

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Bonte Gbemudu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adelante Healthcare, Inc.

Same address

Federally Qualified Health Center (FQHC)

13471 W CORNERSTONE BLVD
Goodyear, AZ 85395

Reassigned Medicare billing, Arizona enrollment
234 clinicians in this Medicare group

NPI 1275017915 (480) 964-2273

Signify Health, LLC

898 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Arizona enrollment
556 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE MYA ALMANZA

Behavior Technician