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BONNIE STAMATIS, MD INC
NPI 1164576286
Internal Medicine in Sheffield Village, OH

Active since January 23, 2007CLIA 36D0958263 · Waiver
5077 WATERFORD DR STE 305, SHEFFIELD VILLAGE, OH 44035(440) 365-4800 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bonnie Stamatis, Md Inc NPPES

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

BONNIE STAMATIS, MD INC (NPI 1164576286) is a healthcare organization registered as an internal medicine in Sheffield Village, Ohio and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 14, 2027 and lists Bonnie Stamatis, President, as its authorized official.

NPPES Registry Identity

NPI1164576286
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBONNIE STAMATIS, MD INC
Location Address5077 WATERFORD DR STE 305Sheffield Village, OH 44035-0705
Mailing Address860 E Broad StElyria, OH 44035-6542 · (440) 365-4800
Phone(440) 365-4800
Organization SubpartNo
Authorized OfficialBonnie StamatisPresident · (440) 365-4800
Enumeration DateJanuary 23, 2007
Last NPPES UpdateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
✔ NPI 1164576286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35064311
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5077 WATERFORD DR STE 305, Sheffield Village, OH 44035
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Other Identifiers 1

Medicaid0908281OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bonnie Stamatis, Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bonnie Stamatis, MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bonnie Stamatis, M.D.
Internal Medicine
NPI 1982677399
5077 WATERFORD DR STE 305
Sheffield Village, OH 44035
(440) 365-4800
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0958263

Bonnie Stamatis MD Inc Lab · Sheffield Village, OH
Active · expires Mar 14, 2027
CLIA Number36D0958263
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorBonnie Stamatis
Laboratory Phone(440) 365-4800
Laboratory LocationBonnie Stamatis MD Inc Lab5077 Waterford Dr, Ste 305, Sheffield Village, OH 44035
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bonnie Stamatis, MD Inc's NPI number?

The NPI number for Bonnie Stamatis, MD Inc is 1164576286. It was assigned to this organization in the NPPES registry on January 23, 2007.

Where is Bonnie Stamatis, MD Inc located?

Bonnie Stamatis, MD Inc is located at 5077 Waterford Dr Ste 305, Sheffield Village, OH 44035. The listed phone number is (440) 365-4800.

What is Bonnie Stamatis, MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bonnie Stamatis, MD Inc enrolled in Medicare?

Yes. Bonnie Stamatis, MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bonnie Stamatis, MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Bonnie Stamatis, MD Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bonnie Stamatis, MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0958263) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bonnie Stamatis, MD Inc was last updated on December 6, 2022. 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.