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SIDRA BONNER MD
NPI 1790277390
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 31, 2018PECOS Enrolled
1500 E. MEDICAL CENTER DRIVE, TAUBMAN CENTER, 2ND FLOOR, RECEPTION F, ANN ARBOR, MI 48109(734) 936-5738(734) 936-6927 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sidra Bonner Md NPPES

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

SIDRA BONNER MD (NPI 1790277390) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4301115225) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790277390
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSIDRA BONNERCredential: MD
Location Address1500 E. MEDICAL CENTER DRIVE, TAUBMAN CENTER, 2ND FLOOR, RECEPTION FAnn Arbor, MI 48109-5332
Mailing Address1500 E. Medical Center Drive, 2920 TcAnn Arbor, MI 48109-5331
Phone(734) 936-5738
Fax(734) 936-6927
Sole ProprietorNo
Enumeration DateMay 31, 2018
✔ NPI 1790277390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4301115225
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E. MEDICAL CENTER DRIVE, Ann Arbor, MI 48109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sidra Bonner Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

REBECCA ANNE OTTEN M.D.
Emergency Medicine
1500 E. MEDICAL CENTER DRIVE, B1-380 TC
ANN ARBOR, MI 48109
Washtenaw County (734) 763-7919
PATRICK FRANKLIN MURDAY MD
Pediatrics (Pediatric Critical Care Medicine)
1500 E. MEDICAL CENTER DRIVE, F6790 UH SOUTH, SPC 5243
ANN ARBOR, MI 48109
Washtenaw County (734) 936-9704
DR. ADAM ADAM MD MSC
Student in an Organized Health Care Education/Training Program
1500 E. MEDICAL CENTER DRIVE, CARDIOVASCULAR MEDICINE
ANN ARBOR, MI 48109
Washtenaw County (734) 936-8689
DR. JEREMY X FIGUEROA-ORTIZ MD, DMD
Dentist (Oral and Maxillofacial Surgery)
1500 E. MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Washtenaw County (734) 232-6048
KATELYN MARTIN DO
Student in an Organized Health Care Education/Training Program
1500 E. MEDICAL CENTER DRIVE, 1H 247 UH
ANN ARBOR, MI 48109
Washtenaw County (714) 390-5607
SANA MUSTAFA ALSAMARAE DDS
Dentist (General Practice)
1500 E. MEDICAL CENTER DRIVE, MEDINN CLINIC C213,SPC 5831
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5950
SCOTT LEVY
Surgery
1500 E. MEDICAL CENTER DRIVE, TAUBMAN CENTER, 2ND FLOOR, RECEPTION F
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5738
DR. KEITH MARCUS MD
Student in an Organized Health Care Education/Training Program
1500 E. MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Washtenaw County (734) 763-4210

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 Sidra Bonner's NPI number?

The NPI number for Sidra Bonner is 1790277390. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Sidra Bonner located?

Sidra Bonner practices at 1500 E. Medical Center Drive Taubman Center, 2nd Floor, Reception F, Ann Arbor, MI 48109. The listed phone number is (734) 936-5738.

What is Sidra Bonner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sidra Bonner enrolled in Medicare?

Yes. Sidra Bonner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sidra Bonner was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.