MR. JOSEPH BONANNO D.O.
NPI 1750460960
Internal Medicine - Nephrology in Bronx, NY

Q: What is Joseph Bonanno's NPI number?

The NPI number for Joseph Bonanno is 1750460960. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Q: What is Joseph Bonanno's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Bonanno was last updated on June 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 06, 2006PECOS Enrolled

100/100

CMS Quality Rating

3481 E TREMONT AVE, BRONX, NY 10465(718) 319-8800(718) 319-8808 Get Directions Write a Review

NPPES record last updated: June 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Joseph Bonanno D.o. NPPES

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

MR. JOSEPH BONANNO D.O. (NPI 1750460960) is an individual nephrology provider in Bronx, New York, licensed in New York (187793) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Montefiore Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1990).

NPPES Registry Identity

NPI1750460960

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameMR. JOSEPH BONANNOCredential: D.O.

Location Address3481 E TREMONT AVEBronx, NY 10465-2016

Mailing Address3481 E Tremont AveBronx, NY 10465-2016 · (718) 319-8800 · Fax (718) 319-8808

Phone(718) 319-8800

Fax(718) 319-8808

Sole ProprietorYes

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1990

Enumeration DateNovember 6, 2006

Last NPPES UpdateJune 11, 2013

✔ NPI 1750460960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NY · 187793

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

3481 E TREMONT AVE, Bronx, NY 10465

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Other Identifiers 5

Medicare UPING54354NY

Other187793NY · License Number

Other133875995NY · Tax Id Number

OtherP714659Oxford Number

Medicare ID-Type Unspecified91Y941NY · Medicare Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Joseph Bonanno D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002951522

PECOS Enrollment IDI20100310000141

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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

532 services266 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

282 services247 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

230 services161 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

182 services182 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

150 services117 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

30 services30 patients

Hospital Affiliations CMS Care Compare

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

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330059

Location111 East 210th StreetBronx, NY 10467 · Bronx County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10465 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

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers54 claims161 services$4.88 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers23 claims49 services$0.86 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers24 claims24 services$193.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

RMM DIAGNOSTIC MANAGEMENT

Technician, Other