WARREN D BONTRAGER (M.D.) – Anesthesiology Physician, NPI 1194702944

WARREN D BONTRAGER (M.D.) is a healthcare provider. based in South bend, Indiana. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 01030959 (IN). The NPI Number for WARREN D BONTRAGER (M.D.) is 1194702944

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
WARREN D BONTRAGER (M.D.)
NPI
1194702944
Phone
(574) 232-8119
Address
416 E. MONROE ST
Enumeration Date
22 December 2005
Last Update Date
6 October 2008

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
5743641000
Graduation Year
1980 (46 years ago)
PAC ID
3375738123
Group Practice PAC ID
9436671864
Professional Enrollment ID
I20101108000020
Address ID
IN465264810GO200XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,446 ANESTHESIOLOGY in IN

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Provider Addresses for WARREN D BONTRAGER (M.D.)

  • Monroe Street, South Bend, Saint Joseph County, Indiana, 46615, United States

    SUITE 200

    SOUTH BEND, IN 466012360

    Phone: (574) 232-8119

    Fax: (574) 288-0235

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-11-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20101108000020IAnesthesiologyINTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope2626$0
00812Anesthesia for exam of colon using an endoscope1313$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 46601)

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Provider's Procedures

WARREN D BONTRAGER (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIN00790Anesthesia for procedure in upper abdomen including use of an endoscope1413
ANESTHESIOLOGYIN36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin2323

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: 9436671864View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YIN
Anesthesiology, Pain Management, AnesthesiologyIN
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)IL
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YIN
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)IN

Reviews

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Frequently asked questions

How do payers reference WARREN D BONTRAGER (M.D.)?
For WARREN D BONTRAGER (M.D.), use NPI 1194702944 as the unique 10-digit identifier.
Active or inactive — what applies to WARREN D BONTRAGER (M.D.)?
You should see WARREN D BONTRAGER (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to WARREN D BONTRAGER (M.D.)?
WARREN D BONTRAGER (M.D.)'s specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where in Indiana is WARREN D BONTRAGER (M.D.) registered?
Use South Bend, Indiana as the headline location for WARREN D BONTRAGER (M.D.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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