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

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: August 02, 2026.

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (877) 809-5092
DIANA V PEREZ
Case Manager/Care Coordinator
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (877) 809-5092
GRACE MARY RUETTINGER PA
Nurse Practitioner (Psychiatric/Mental Health)
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (480) 964-2273
MRS. CHERRIEE MILYNN DESHONG WHNP
Nurse Practitioner (Women's Health)
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (480) 964-2273
MELIA KAY COX DO
Family Medicine
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (877) 809-5092
DR. MARKETTA TOLIVER DNP, APRN, FNP-C
Nurse Practitioner (Family)
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (480) 964-2273
ADELANTE HEALTHCARE INC
Pharmacy (Clinic Pharmacy)
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (844) 551-6691
ANDREW THOMAS SAWYER DMD
Dentist (General Practice)
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Maricopa County (480) 964-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Bonte Gbemudu located?

Bonte Gbemudu practices at 13471 W Cornerstone Blvd, Goodyear, AZ 85395. The listed phone number is (877) 809-5092.

What is Bonte Gbemudu's specialty?

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

Is Bonte Gbemudu enrolled in Medicare?

Yes. Bonte Gbemudu is registered in the Medicare PECOS enrollment system.

What insurance does Bonte Gbemudu accept?

Health plans from Oscar Insurance Company list Bonte Gbemudu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.