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DR. KEVIN BONILLA MD
NPI 1730686403
Obstetrics & Gynecology in Islandia, NY

Active since April 10, 2018PECOS EnrolledAccepts Medicare Assignment
3001 EXPRESS DR N, ISLANDIA, NY 11749(631) 292-6747 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2022, Apr 10, 2018 (2 updates tracked since 2018).

About Dr. Kevin Bonilla Md NPPES

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

DR. KEVIN BONILLA MD (NPI 1730686403) is an individual obstetrics & gynecology provider in Islandia, New York, licensed in New York (315669-01) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and maintains a secondary practice location in Bay Shore.

NPPES Registry Identity

NPI1730686403
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. KEVIN BONILLACredential: MD
Location Address3001 EXPRESS DR NIslandia, NY 11749-5301
Mailing Address301 E Main StBay Shore, NY 11706-8408 · (631) 968-3322
Phone(631) 292-6747
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2018
Enumeration DateApril 10, 2018
Last NPPES UpdateJune 9, 20222 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1730686403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 315669-01
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3001 EXPRESS DR N, Islandia, NY 11749
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Secondary Practice Location 1

Location 1301 E Main StBay Shore, NY 11706-8408 · Phone (631) 968-3322

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

Dr. Kevin Bonilla Md 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 ID4486908787
PECOS Enrollment IDI20220823003607
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.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11749 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 6

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

TARANJIT ARNEJA M.D.
Family Medicine (Adult Medicine)
3001 EXPRESS DR N
ISLANDIA, NY 11749
Suffolk County (314) 390-6006
JENNIFER RENOUS CNM
Midwife
3001 EXPRESS DR N
ISLANDIA, NY 11749
Suffolk County (631) 292-6747
KATHERINE KAELIN NP-C
Nurse Practitioner (Family)
3001 EXPRESS DR N
ISLANDIA, NY 11749
Suffolk County (631) 292-6747
PETER-JOHN RUIZ RPA-C
Physician Assistant
3001 EXPRESS DR N, SUITE 102
ISLANDIA, NY 11749
Suffolk County (631) 439-0600
MS. JESSICA CAITLIN BRIMER F.N.P
Nurse Practitioner (Family)
3001 EXPRESS DR N
ISLANDIA, NY 11749
Suffolk County (631) 292-6747
MR. JOHN F FOLAN MD
Internal Medicine
3001 EXPRESS DR N, SUITE 200C
ISLANDIA, NY 11749
Suffolk County (631) 435-4358

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 Kevin Bonilla's NPI number?

The NPI number for Kevin Bonilla is 1730686403. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Kevin Bonilla located?

Kevin Bonilla practices at 3001 Express Dr N, Islandia, NY 11749. The listed phone number is (631) 292-6747.

What is Kevin Bonilla's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kevin Bonilla enrolled in Medicare?

Yes. Kevin Bonilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kevin Bonilla affiliated with any hospitals?

According to CMS data, Kevin Bonilla is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Bonilla was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.