CHAD E BONHOMME MD NPI 1760432470

NPI Information

NPI: 1760432470
Provider Name: CHAD E BONHOMME, MD
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

PECOS Registration: Yes

Address:
8075 N SHADELAND AVE
SUITE 200
INDIANAPOLIS, IN
ZIP 46250
Phone: (317) 621-8500
Get Directions

Chad E Bonhomme, MD is a clinical cardiac electrophysiology internal medicine in Indianapolis, IN. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. Chad E Bonhomme, MD NPI is 1760432470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8075 N SHADELAND AVE
SUITE 200
INDIANAPOLIS, IN
ZIP 46250-693
Phone: (317) 621-8500
Fax: (317) 621-8501

The NPI 1760432470 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	01053007A	INDIANA	No
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	01053007A	INDIANA	Yes
3	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	48008020	WISCONSIN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1316998578	OTHER	ILLINOIS	GROUP PRACTICE NPI
2	1616378	OTHER	ILLINOIS	BCBS
3	K31805	OTHER	ILLINOIS	MEDICARE PIN-LOCALITY 16
4	P00352819	OTHER	ILLINOIS	RRMC-LOCALITY 16
5	P00392473	OTHER	ILLINOIS	RRMC-LOCALITY 15
6	K31800	OTHER	ILLINOIS	MEDICARE PIN-LOCALITY 15
7	P01191751	OTHER	INDIANA	RR MEDICARE PTAN
8	7478874	OTHER	ILLINOIS	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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