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DIANGIE ACOSTA BONILLA MD
NPI 1154962645
Family Medicine in Kenneth City, FL

Active since October 05, 2019PECOS EnrolledAccepts Medicare Assignment
4390 66TH ST N, KENNETH CITY, FL 33709(727) 513-4100(727) 565-4979 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 15, 2023, Oct 5, 2019 (2 updates tracked since 2019).

About Diangie Acosta Bonilla Md NPPES

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

DIANGIE ACOSTA BONILLA MD (NPI 1154962645) is an individual family medicine provider in Kenneth City, Florida, licensed in Florida (ME159985) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154962645
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDIANGIE ACOSTA BONILLACredential: MD
Location Address4390 66TH ST NKenneth City, FL 33709-4920
Mailing Address4390 66th St NKenneth City, FL 33709-4920 · (727) 513-4100 · Fax (727) 565-4979
Phone(727) 513-4100
Fax(727) 565-4979
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 5, 2019
Last NPPES UpdateJune 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1154962645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME159985
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.
4390 66TH ST N, Kenneth City, FL 33709
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Diangie Acosta Bonilla Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355763046
PECOS Enrollment IDI20230626000195, I20241011003628
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

3

Medicare enrollment records show Diangie Acosta Bonilla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dedicated Senior Medical Center Of Florida, LLC
5.5 mi
Specialist
7050 ULMERTON RD
Largo, FL 33771
  • Reassigned Medicare billing, Florida enrollment
  • 348 clinicians in this Medicare group
NPI 1659888741 (305) 628-6117
Everyone Urgent Care LLC
24 mi
Urgent Care
10048 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1548081995 (941) 231-8825
Mercy Southern Missouri Ambulatory Services LLC
891 mi
Urgent Care
900 E BATTLEFIELD ST STE 124
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 94 clinicians in this Medicare group
NPI 1871094052 (417) 556-8967

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33709 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 7

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

CLEMENTIE SINIGUR PA-C
Physician Assistant
4390 66TH ST N
KENNETH CITY, FL 33709
Pinellas County (727) 513-4100
MS. JESSICA SUZANN KACZAR APRN, FNP-C
Nurse Practitioner (Family)
4390 66TH ST N
KENNETH CITY, FL 33709
Pinellas County (727) 513-4100
DR. KRISTI A FITZMORRIS MD
Internal Medicine
4390 66TH ST N
KENNETH CITY, FL 33709
Pinellas County (727) 513-4100
SRIKRUTHI KAKULAVARAPU M.D., M.B.A.
Family Medicine
4390 66TH ST N
KENNETH CITY, FL 33709
Pinellas County (727) 513-4100
MS. CHEVONNE JASS SINGH APRN
Nurse Practitioner (Family)
4390 66TH ST N
KENNETH CITY, FL 33709
Pinellas County (727) 513-4100
DR. ESTHER U BROWNE-KING M.D.
Internal Medicine
4390 66TH ST N
KENNETH CITY, FL 33709
Pinellas County (727) 513-4100
ARIEL CEPERO DEL SOL MD
Family Medicine
4390 66TH ST N
KENNETH CITY, FL 33709
Pinellas County (727) 513-4100

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 Diangie Acosta Bonilla's NPI number?

The NPI number for Diangie Acosta Bonilla is 1154962645. It was assigned to this individual provider in the NPPES registry on October 5, 2019.

Where is Diangie Acosta Bonilla located?

Diangie Acosta Bonilla practices at 4390 66th St N, Kenneth City, FL 33709. The listed phone number is (727) 513-4100.

What is Diangie Acosta Bonilla's specialty?

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

Is Diangie Acosta Bonilla enrolled in Medicare?

Yes. Diangie Acosta Bonilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Diangie Acosta Bonilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diangie Acosta Bonilla reassigns Medicare benefits to 3 organizations: Dedicated Senior Medical Center Of Florida, LLC (Largo, FL), Everyone Urgent Care LLC (Parrish, FL) and Mercy Southern Missouri Ambulatory Services LLC (Springfield, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Diangie Acosta Bonilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Diangie Acosta Bonilla was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.