DR. KEVIN BONILLA MD
NPI 1730686403
Obstetrics & Gynecology in Islandia, NY
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, maintains a secondary practice location in Bay Shore, and is a graduate of Howard University College Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Kevin Bonilla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Islandia, NY 11749
- Reassigned Medicare billing, New York enrollment
- 24 clinicians in this Medicare group
Greenlawn, NY 11740
- Reassigned Medicare billing, New York enrollment
- 67 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 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.
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.
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.
Which organizations bill Medicare for Kevin Bonilla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Bonilla reassigns Medicare benefits to 2 organizations: North Shore Lij Ob Gyn PC (Islandia, NY) and Huntington Hospital Dolan Family Health Center (Greenlawn, NY). Each 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 Kevin Bonilla'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 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.
# Dr. Kevin Bonilla, MD · NPI 1730686403
Obstetrics & Gynecology physician in Islandia, New York. Individual provider, active in the CMS NPPES registry since April 10, 2018.
## Identity
- **NPI:** 1730686403 (Entity type: Individual)
- **Enumerated:** April 10, 2018
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 315669-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3001 EXPRESS DR N, Islandia, NY 11749-5301
- **Phone:** (631) 292-6747
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Shore Lij Ob Gyn PC (NPI 1033453329, Islandia, NY); Huntington Hospital Dolan Family Health Center (NPI 1578593588, Greenlawn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** June 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1730686403) · Data from the CMS NPPES public registry.