DR. DAYNE KAWIKA BONZO DO
NPI 1437505963
Pediatrics in Eielson Afb, AK

Q: What is Dayne Bonzo's NPI number?

The NPI number for Dayne Bonzo is 1437505963. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Q: What is Dayne Bonzo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Dayne Bonzo was last updated on August 25, 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.

Active since May 13, 2016PECOS Enrolled

2630 CENTRAL AVE # 3349, EIELSON AFB, AK 99702(907) 377-6455 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2022, Sep 11, 2020, Aug 16, 2018 and 1 more (4 updates tracked since 2016).

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About Dr. Dayne Kawika Bonzo Do NPPES

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

DR. DAYNE KAWIKA BONZO DO (NPI 1437505963) is an individual pediatrics provider in Eielson Afb, Alaska, licensed in Ohio (34.013112) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437505963

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. DAYNE KAWIKA BONZOCredential: DO

Location Address2630 CENTRAL AVE # 3349Eielson Afb, AK 99702-2301

Mailing Address2360 Central Ave #3349, Attn Dr. Dayne BonzoEielson Afb, AK 99702 · (907) 377-6455

Phone(907) 377-6455

Sole ProprietorYes

Enumeration DateMay 13, 2016

Last NPPES UpdateAugust 25, 20224 updates tracked since enumeration

NPPES CertifiedAugust 25, 2022

✔ NPI 1437505963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in OH · 34.013112

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 34.013112 (OH)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2630 CENTRAL AVE # 3349, Eielson Afb, AK 99702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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)

Dr. Dayne Kawika Bonzo Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 99702 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

$111.57 typical visit price

range $71.33 – $222.64

Typical copayment $27.89 (range $17.83 – $55.66)

Most-billed visit code 99203

Established Patient

$128.73 typical visit price

range $21.84 – $181.48

Typical copayment $32.18 (range $5.46 – $45.37)

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 11

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

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