MARIO A. BONILLA M.D
NPI 1609873736
Internal Medicine - Interventional Cardiology in Denison, TX

Q: What is Mario Bonilla's NPI number?

The NPI number for Mario Bonilla is 1609873736. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Q: What is Mario Bonilla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Mario Bonilla was last updated on January 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 July 05, 2005PECOS Enrolled

5026 POOL ROAD, DENISON, TX 75020(903) 465-3624(903) 465-3973 Get Directions Write a Review

NPPES record last updated: January 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mario A. Bonilla M.d NPPES

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

MARIO A. BONILLA M.D (NPI 1609873736) is an individual interventional cardiology provider in Denison, Texas, licensed in Texas (F5839) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609873736

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameMARIO A. BONILLACredential: M.D

Location Address5026 POOL ROADDenison, TX 75020-4595

Mailing Address5012 S Us Highway 75 Ste 300, Attn BillingDenison, TX 75020-4589 · (903) 465-3624 · Fax (903) 465-3973

Phone(903) 465-3624

Fax(903) 465-3973

Sole ProprietorNo

Enumeration DateJuly 5, 2005

Last NPPES UpdateJanuary 26, 2018

✔ NPI 1609873736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

License✔ Licensed in TX · F5839

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal MedicineTaxonomy 207R00000X · License F5839 (TX)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License F5839 (TX)

5026 POOL ROAD, Denison, TX 75020

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Other Identifiers 3

Other12480OK · Medical License

Medicaid132567208TX

Medicaid100041710AOK

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mario A. Bonilla M.d 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 75020 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 4

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

SRINIVASA A REDDY MD

Internal Medicine (Interventional Cardiology)

5026 POOL ROAD
DENISON, TX 75020

Grayson County (903) 465-3624

TEXOMA HEART GROUP, PA

Specialist

5026 POOL ROAD
DENISON, TX 75020

Grayson County (903) 465-3624

MUKESH R. SHETH MD

Internal Medicine (Interventional Cardiology)

5026 POOL ROAD
DENISON, TX 75020

Grayson County (903) 465-3624

ARAVIND GANGASANI MD

Internal Medicine (Interventional Cardiology)

5026 POOL ROAD
DENISON, TX 75020

Grayson County (903) 465-3624

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 Mario Bonilla's NPI number?

The NPI number for Mario Bonilla is 1609873736. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Mario Bonilla located?

Mario Bonilla practices at 5026 Pool Road, Denison, TX 75020. The listed phone number is (903) 465-3624.

What is Mario Bonilla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Mario Bonilla enrolled in Medicare?

Yes. Mario Bonilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mario Bonilla was last updated on January 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.