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PAUL H BONUCCI MD
NPI 1922114677
Preventive Medicine - Addiction Medicine in Princeton, IL

Active since August 22, 2006PECOS Enrolled
2128 N MAIN ST, PRINCETON, IL 61356(815) 875-2273(815) 207-8682 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2025, Oct 13, 2020, Mar 17, 2020 (3 updates tracked since 2020).

About Paul H Bonucci Md NPPES

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

PAUL H BONUCCI MD (NPI 1922114677) is an individual addiction medicine provider in Princeton, Illinois, licensed in Illinois (036100221) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922114677
Entity TypeIndividualMale
Primary Taxonomy2083A0300X
Provider Legal NamePAUL H BONUCCICredential: MD
Location Address2128 N MAIN STPrinceton, IL 61356-9728
Mailing Address1124 Prairie Ln SPrinceton, IL 61356-2383 · (815) 915-6435
Phone(815) 875-2273
Fax(815) 207-8682
Sole ProprietorYes
Enumeration DateAugust 22, 2006
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1922114677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0300X
License✔ Licensed in IL · 036100221
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
2128 N MAIN ST, Princeton, IL 61356
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11124 Prairie Ln SPrinceton, IL 61356-2383 · Phone (815) 915-6435
Location 2530 Park Ave EPrinceton, IL 61356 · Phone (815) 875-2811

Other Identifiers 2

Medicaid036100221IL
MedicaidG48980SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul H Bonucci 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Bonucci reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihcc Hospice Inc
1.8 mi
Hospice and Palliative Medicine
602 N MAIN ST
Princeton, IL 61356
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1023716875 (815) 872-7447
Osf Healthcare System
1.9 mi
Rural Health
535 PARK AVE E
Princeton, IL 61356
  • Reassigned Medicare billing, Illinois enrollment
  • 93 clinicians in this Medicare group
NPI 1417542804 (815) 875-4531

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 61356 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

OSF HEALTHCARE SYSTEM
Clinic/Center (Rural Health)
2128 N MAIN ST
PRINCETON, IL 61356
Bureau County (815) 875-2273
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Clinic/Center (Urgent Care)
2128 N MAIN ST
PRINCETON, IL 61356
Bureau County (815) 875-2273
REBEKKA J ROOT FNP
Nurse Practitioner (Family)
2128 N MAIN ST
PRINCETON, IL 61356
Bureau County (815) 875-2273
JULIA RACKLEY PERRY MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
2128 N MAIN ST
PRINCETON, IL 61356
Bureau County (815) 875-2273
MR. CORY J KRAMER NP
Nurse Practitioner (Family)
2128 N MAIN ST
PRINCETON, IL 61356
Bureau County (815) 875-2273

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 Paul Bonucci's NPI number?

The NPI number for Paul Bonucci is 1922114677. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Paul Bonucci located?

Paul Bonucci practices at 2128 N Main St, Princeton, IL 61356. The listed phone number is (815) 875-2273.

What is Paul Bonucci's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Addiction Medicine, with taxonomy code 2083A0300X.

Is Paul Bonucci enrolled in Medicare?

Yes. Paul Bonucci is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Bonucci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Bonucci reassigns Medicare benefits to 2 organizations: Ihcc Hospice Inc (Princeton, IL) and Osf Healthcare System (Princeton, IL). 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 Paul Bonucci'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 Paul Bonucci was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.