MRS. CAITLIN THOMAS BONOMO CPNP-AC
NPI 1699389858
Nurse Practitioner - Pediatrics in Baltimore, MD
About Mrs. Caitlin Thomas Bonomo Cpnp-ac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CAITLIN THOMAS BONOMO CPNP-AC (NPI 1699389858) is an individual pediatrics provider in Baltimore, Maryland, licensed in Maryland (R206319) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Caitlin Thomas Bonomo Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Caitlin Bonomo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- Medicare enrollment name: University Of Maryland Pediatric Associates, PA
- 172 clinicians in this Medicare group
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 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BALTIMORE, MD 21201
BALTIMORE, MD 21201
BALTIMORE, MD 21201
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 Caitlin Bonomo's NPI number?
The NPI number for Caitlin Bonomo is 1699389858. It was assigned to this individual provider in the NPPES registry on September 4, 2020.
Where is Caitlin Bonomo located?
Caitlin Bonomo practices at 22 S Greene St, Baltimore, MD 21201. The listed phone number is (410) 328-6453.
What is Caitlin Bonomo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Caitlin Bonomo enrolled in Medicare?
Yes. Caitlin Bonomo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Caitlin Bonomo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Bonomo reassigns Medicare benefits to University Of Maryland Pediatric Assoc PA (Baltimore, MD). 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 Caitlin Bonomo'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 Caitlin Bonomo was last updated on January 25, 2023. 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.
# Mrs. Caitlin Thomas Bonomo, CPNP-AC · NPI 1699389858
Pediatrics physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since September 4, 2020.
## Identity
- **NPI:** 1699389858 (Entity type: Individual)
- **Enumerated:** September 4, 2020
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** R206319 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 22 S GREENE ST, Baltimore, MD 21201-1544
- **Phone:** (410) 328-6453
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Maryland Pediatric Assoc PA (NPI 1174628580, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1699389858) · Data from the CMS NPPES public registry.