FERNANDO B JR. BONANNI (MD) – Surgery Physician, NPI 1720080864

FERNANDO B JR. BONANNI (MD) is a healthcare provider. based in Quincy, Illinois. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD048271L (PA). The NPI Number for FERNANDO B JR. BONANNI (MD) is 1720080864

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
FERNANDO B JR. BONANNI (MD)
NPI
1720080864
Phone
(215) 206-9679
Address
1107 COLLEGE AVE
Enumeration Date
10 August 2005
Last Update Date
4 November 2021

Doctor Profile

Medical School Name
HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2172246423
Graduation Year
1990 (36 years ago)
PAC ID
8921903881
Group Practice PAC ID
3072422534
Professional Enrollment ID
I20031204000073
Address ID
PA189742335WA20XXXCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,423 GENERAL SURGERY in IL

Provider Addresses for FERNANDO B JR. BONANNI (MD)

  • 1107 COLLEGE AVE

    QUINCY, IL 623012600

    Phone: (215) 206-9679

    Fax: (217) 214-5805

    Type: Mailing

  • Abington Health Center - Warminster Main Building, 225, Newtown Road, Johnsville, Warminster, Warminster Township, Bucks County, Pennsylvania, 18974, United States

    2ND FLOOR

    WARMINSTER, PA 189745221

    Phone: (215) 441-6800

    Fax: (215) 441-6810

    Type: Mailing

  • 225 Newtown Rd

    2nd Floor

    Warminster, PA 189745221

    Phone: (215) 441-6800

    Fax: (215) 441-6810

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $32,264.

Total Amount is formed as General ($32,264) + Research ($0) + Ownership ($0) = $32,264.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($32,176).

Total Amount

$32,264

General + Research + Ownership

Payments

34

Total payment records

General Amount

$32,264

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031204000073IGeneral SurgeryPATBD
I20200211001904IGeneral SurgeryILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1711$0
View full utilization report →

Insurance plans in this area (ZIP 62301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072422534View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
N E U R O L O G YMI
Radiation OncologyIL
Nurse PractitionerIL
Nurse PractitionerIL
Pain Management, AnesthesiologyIL
Family Practice, Emergency MedicineIL
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

How is FERNANDO B JR. BONANNI (MD) identified in CMS data?
CMS-hosted NPPES data lists FERNANDO B JR. BONANNI (MD) with NPI 1720080864.
Can I rely on FERNANDO B JR. BONANNI (MD) being an active provider?
As of the registry snapshot, FERNANDO B JR. BONANNI (MD) is marked active.
What is FERNANDO B JR. BONANNI (MD)'s primary classification?
Surgery Physician is the headline specialty for FERNANDO B JR. BONANNI (MD) here. Clinical services aligned with this taxonomy classification.
Where is FERNANDO B JR. BONANNI (MD) based?
FERNANDO B JR. BONANNI (MD) is tied to Quincy, Illinois in the data we show; additional addresses may exist on the full record.
Why does FERNANDO B JR. BONANNI (MD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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