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BONNIE CONNOLLY MD
NPI 1780648725
Specialist in Pasadena, CA

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
DEPT LA 21069, PASADENA, CA 91185(714) 628-3211(714) 639-0593 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bonnie Connolly Md NPPES

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

BONNIE CONNOLLY MD (NPI 1780648725) is an individual specialist in Pasadena, California, licensed in Michigan (BC082902) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1997).

NPPES Registry Identity

NPI1780648725
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameBONNIE CONNOLLYCredential: MD
Location AddressDEPT LA 21069Pasadena, CA 91185-1069
Mailing AddressDept La 21069Pasadena, CA 91185-1069 · (714) 628-3211 · Fax (714) 639-0593
Phone(714) 628-3211
Fax(714) 639-0593
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1997
Enumeration DateApril 14, 2006
Last NPPES UpdateDecember 13, 2011
✔ NPI 1780648725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · BC082902
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
DEPT LA 21069, Pasadena, CA 91185
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Other Identifiers 3

Medicare UPINH62545MI
Medicaid4597443MI
Medicare ID-Type UnspecifiedON95070001MI

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

Bonnie Connolly 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 ID1850364928
PECOS Enrollment IDI20111111000521
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.

Medicare Billing Reassignment

Medicare enrollment records show Bonnie Connolly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Providence Medical Foundation
20 mi
General Practice
1514 VALLEY VISTA DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 1,699 clinicians in this Medicare group
NPI 1285890624 (909) 860-1144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
164 services77 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.
51 services51 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.
49 services32 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
12 services12 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.
12 services12 patients

Referred Medical Equipment & Supplies CMS DME claims

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
5 suppliers12 claims25 services$5.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Bonnie Connolly's NPI number?

The NPI number for Bonnie Connolly is 1780648725. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Bonnie Connolly located?

Bonnie Connolly practices at Dept La 21069, Pasadena, CA 91185. The listed phone number is (714) 628-3211.

What is Bonnie Connolly's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Bonnie Connolly enrolled in Medicare?

Yes. Bonnie Connolly 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 organization bills Medicare for Bonnie Connolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bonnie Connolly reassigns Medicare benefits to Providence Medical Foundation (Diamond Bar, CA). 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 Bonnie Connolly'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 Bonnie Connolly was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.