VINCENT ANTHONY BONANNO MD
NPI 1447225735
Internal Medicine in Wpafb, OH

NPI Status: Active since February 21, 2006

Contact Information

4881 SUGAR MAPLE DR
WPAFB, OH
ZIP 45433
Phone: (937) 257-9926
Fax: (937) 257-1529

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  • Individual
  • Male
  • Internal Medicine
  • Accepts Insurance
  • PECOS Enrolled

About VINCENT BONANNO

This page provides the complete NPI Profile along with additional information for Vincent Bonanno, an internist established in Wpafb, Ohio with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1447225735 assigned on February 2006. The practitioner's primary taxonomy code is 207R00000X with license number 35079926 (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1447225735
Provider Name
VINCENT ANTHONY BONANNO MD
Gender
Male
Entity Type
Individual
Location Address
4881 SUGAR MAPLE DR WPAFB, OH 45433
Location Phone
(937) 257-9926
Location Fax
(937) 257-1529
Mailing Address
4881 SUGAR MAPLE DR WPAFB, OH 45433
Mailing Phone
(937) 257-9926
Mailing Fax
(937) 257-1529
Is Sole Proprietor?
No
Enumeration Date
02-21-2006
Last Update Date
07-08-2007
Code Navigator

An internist like Vincent Bonanno is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
35079926
License State
OH
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F28798MEDICARE UPIN (02)OH 
2304689MEDICAID (05)OH 
BO4072072MEDICARE ID-TYPE UNSPECIFIED (04)OH 

Medicare Participation & PECOS Enrollment Status

Vincent Bonanno is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 45433 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $126.12
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.65
  • Average New Patient Copayment $31.53
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.66

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.44
  • Minimum Established Patient Price $17.1
  • Maximum Established Patient Price $135.4
  • Average Established Patient Copayment $24.11
  • Minimum Established Patient Copayment $4.27
  • Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447225735
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2487421076
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 4 + 2 + 1 + 0 + 7 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1447225735 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053305300DR. BRIAN STANTON DPM
Individual
Podiatrist (Foot & Ankle Surgery)4881 SUGAR MAPLE DR ORTHOPEDICS AND PODIATRY
WRIGHT PATTERSON AFB, OH 45433
(937) 257-9416
1275527236DR. JOE DAVID SPARKS DMD
Individual
Dentist (General Practice)4881 SUGAR MAPLE DR 48DS
WPAFB, OH 45433
(937) 256-5889
1952397242DR. BRANTLY BAYNES M.D.
Individual
Pediatrics4881 SUGAR MAPLE DR 88 MDG/SGH2
WRIGHT PATTERSON AFB, OH 45433
(937) 257-9123
1962498857 BRADLEY LLOYD
Individual
Internal Medicine (Infectious Disease)4881 SUGAR MAPLE DR 88 MDOS
WPAFB, OH 45433
(210) 391-2251
1699761577MRS. BARABARA ANN HAWK RPT
Individual
Physical Therapist4881 SUGAR MAPLE DR 88MDG/SGCP
WRIGHT PATTERSON AFB, OH 45433
(937) 257-8753
1306832217 KEN FURMAN PHD
Individual
Psychologist (Clinical)4881 SUGAR MAPLE DR 88MDG/SGOHC
WRIGHT PATTERSON AFB, OH 45433
(937) 257-6877
1629064662MRS. JANE CAROLYN GUNNISON MSW
Individual
Social Worker4881 SUGAR MAPLE DR 5TH FLOOR
WPAFB, OH 45433
(937) 257-6429
1407842347UNITED STATES AIR FORCE
Organization
Military Hospital (Military General Acute Care Hospital)4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
(937) 257-8753
1861488769DR. RICHARD E VANARSDEL O.D.
Individual
Optometrist4881 SUGAR MAPLE DR 88MDG/SGPE
WRIGHT PATTERSON AFB, OH 45433
(937) 255-8892
1609862523DR. EDWARD LOTHAR FIEG DO
Individual
Emergency Medicine4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
(937) 257-8838
1518954247DR. MARIA DOMINGO SANTOS DDS
Individual
Dentist (Endodontics)4881 SUGAR MAPLE DR 88MDG/SGDD
WRIGHT PATTERSON AFB, OH 45433
(937) 257-0500
1649266354DR. ADITYA AVINASH BHAGWAT PH.D.
Individual
Clinical Neuropsychologist4881 SUGAR MAPLE DR 88MDG/SGOHC
WRIGHT PATTERSON AFB, OH 45433
(937) 257-6876
1033105804MR. JAMES PAUL RONYAK JR.
Individual
Occupational Therapist4881 SUGAR MAPLE DR 88MDG/SGCPZ
WRIGHT PATTERSON AFB, OH 45433
(937) 257-8696
1528054202DR. CHARLES PAIGE WOOD M.D.
Individual
Internal Medicine4881 SUGAR MAPLE DR 88TH MDOS/SGOMI
WRIGHT PATTERSON AFB, OH 45433
(937) 257-1536
1649266438DR. WILLIAM JULIAN GERMANN M.D.
Individual
Family Medicine4881 SUGAR MAPLE DR 88 MDG/SGHJ
WRIGHT PATTERSON AFB, OH 45433
(937) 257-6632
1417944026DR. KIRK LEE ROWE PH.D.
Individual
Clinical Neuropsychologist4881 SUGAR MAPLE DR SGOHE
WRIGHT PATTERSON AFB, OH 45433
(937) 257-6877
1366439820DR. JAMES CLYDE STAUP JR. DDS
Individual
Dentist (General Practice)4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
(937) 257-9556
1639166150MR. CHRISTOPHER ALEC DYER CRNA
Individual
Nurse Anesthetist, Certified Registered4881 SUGAR MAPLE DR 88MDG/SGCJ
WRIGHT PATTERSON AFB, OH 45433
(937) 257-0596
1376530147DR. RAYMOND L. POOLE PSY.D.
Individual
Psychologist (Clinical)4881 SUGAR MAPLE DR 88MDG/SGOHC
WRIGHT PATTERSON AFB, OH 45433
(937) 257-6877
1457348229DR. CHRISTOPHER M BROWN M.D.
Individual
Internal Medicine4881 SUGAR MAPLE DR 88 MDOS/SGOMI-A
WPAFB, OH 45433
(937) 257-1559

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447225735, enumerated in the NPI registry as an "individual" on February 21, 2006

The provider is located at 4881 Sugar Maple Dr Wpafb, Oh 45433 and the phone number is (937) 257-9926

The provider's speciality is Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $126.12 with an average copayment of $31.53 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on February 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.