JAVIER BONILLA
NPI 1689060642
Pediatrics in San Antonio, TX

Q: What is Javier Bonilla's NPI number?

The NPI number for Javier Bonilla is 1689060642. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Q: What is Javier Bonilla'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 Javier Bonilla was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 07, 2015PECOS EnrolledAccepts Medicare Assignment

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-2015 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2023, Jul 3, 2019 (2 updates tracked since 2019).

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About Javier Bonilla NPPES

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

JAVIER BONILLA (NPI 1689060642) is an individual pediatrics provider in San Antonio, Texas, licensed in Texas (S1986) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1689060642

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJAVIER BONILLA

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402 · (210) 358-2015

Phone(210) 358-2015

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 7, 2015

Last NPPES UpdateNovember 28, 20232 updates tracked since enumeration

NPPES CertifiedNovember 28, 2023

✔ NPI 1689060642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in TX · S1986

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.

4502 MEDICAL DR, San Antonio, TX 78229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Javier Bonilla 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 ID7315284361

PECOS Enrollment IDI20231107000828

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Health System

Acute Care Hospitals · San Antonio, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450213

Location4502 Medical DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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 20

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

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)