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SAM BONGE
NPI 1346869781
Anesthesiology in Miami, FL

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment
1611 NW 12TH AVE # C300, MIAMI, FL 33136(305) 585-7037 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 6, 2025, Jun 13, 2025, Apr 15, 2020 (3 updates tracked since 2020).

About Sam Bonge NPPES

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

SAM BONGE (NPI 1346869781) is an individual anesthesiology provider in Miami, Florida, licensed in Florida (ME174860) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1346869781
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameSAM BONGE
Location Address1611 NW 12TH AVE # C300Miami, FL 33136-1005
Mailing Address1611 Nw 12th Ave # C300Miami, FL 33136-1005
Phone(305) 585-7037
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateApril 15, 2020
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1346869781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in FL · ME174860
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License ME174860 (FL)
1611 NW 12TH AVE # C300, Miami, FL 33136
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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

Sam Bonge 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 ID1759895485
PECOS Enrollment IDI20250707001269
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 Reassignment

Medicare enrollment records show Sam Bonge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami
Same address
Medical Oncology
1611 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1922058544 (305) 243-7688

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

Other Providers at the Same Location NPPES 16

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

MS. GINA MARIE CORBETT CRNA
Nurse Anesthetist, Certified Registered
1611 NW 12TH AVE # C300
MIAMI, FL 33136
Miami-Dade County (305) 585-6586
DR. VERONICA MARGARITA ZOGHBI PARRAGA MD
Anesthesiology
1611 NW 12TH AVE # C300
MIAMI, FL 33136
Miami-Dade County (305) 585-7037
DR. JAKE RACHIELE MD
Anesthesiology
1611 NW 12TH AVE # C300
MIAMI, FL 33136
Miami-Dade County (305) 585-7037
AYMEE PAULA APRN
Nurse Practitioner (Gerontology)
1611 NW 12TH AVE # C300
MIAMI, FL 33136
Miami-Dade County (305) 585-7037
DEVIN SHENKMAN DO
Anesthesiology
1611 NW 12TH AVE # C300
MIAMI, FL 33136
Miami-Dade County (786) 417-7961
SASHA ALEXANDRA UNDERWOOD
Anesthesiology
1611 NW 12TH AVE # C300
MIAMI, FL 33136
Miami-Dade County (303) 585-1111
DR. PHILIP J SMITH M.D.
Anesthesiology
1611 NW 12TH AVE # C300
MIAMI, FL 33136
Miami-Dade County (914) 772-6198
TRAVIS ALTMAN MD
Anesthesiology
1611 NW 12TH AVE # C300
MIAMI, FL 33136
Miami-Dade County (727) 641-2304

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 Sam Bonge's NPI number?

The NPI number for Sam Bonge is 1346869781. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Sam Bonge located?

Sam Bonge practices at 1611 NW 12th Ave # C300, Miami, FL 33136. The listed phone number is (305) 585-7037.

What is Sam Bonge's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Sam Bonge enrolled in Medicare?

Yes. Sam Bonge 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 organization bills Medicare for Sam Bonge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sam Bonge reassigns Medicare benefits to University Of Miami (Miami, FL). The 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 Sam Bonge'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 Sam Bonge was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.