DR. LUISA FERNANDA BONILLA HERNANDEZ MD
NPI 1659867448
Pediatrics in San Antonio, TX

Q: What is Luisa Bonilla Hernandez's NPI number?

The NPI number for Luisa Bonilla Hernandez is 1659867448. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Q: What is Luisa Bonilla Hernandez's specialty?

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

Active since July 05, 2018PECOS Enrolled

4503 S ZARZAMORA ST, SAN ANTONIO, TX 78211(210) 644-8600(210) 644-8625 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2021, Dec 21, 2020, Jul 30, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Luisa Fernanda Bonilla Hernandez Md NPPES

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

DR. LUISA FERNANDA BONILLA HERNANDEZ MD (NPI 1659867448) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (T0727) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659867448

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. LUISA FERNANDA BONILLA HERNANDEZCredential: MD

Location Address4503 S ZARZAMORA STSan Antonio, TX 78211-1207

Mailing Address903 W Martin St # Ms 52-2San Antonio, TX 78207-0903 · (210) 358-5909 · Fax (210) 358-4765

Phone(210) 644-8600

Fax(210) 644-8625

Sole ProprietorNo

Enumeration DateJuly 5, 2018

Last NPPES UpdateAugust 4, 20214 updates tracked since enumeration

NPPES CertifiedAugust 4, 2021

✔ NPI 1659867448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · T0727

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.

4503 S ZARZAMORA ST, San Antonio, TX 78211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luisa Fernanda Bonilla Hernandez Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Luisa Bonilla Hernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medicine Associates

4.0 mi

Family Medicine

903 W MARTIN ST # MS 49-2
San Antonio, TX 78207

Reassigned Medicare billing, Texas enrollment
1,129 clinicians in this Medicare group

NPI 1245313329 (210) 358-3401

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78211 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

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 11

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

ELIZABETH MARIE HERNANDEZ RN, MSN, WHCNP

Nurse Practitioner (Women's Health)