DR. GRANT HOWARD BONAVIA (M.D.) – Diagnostic Radiology Physician, NPI 1174618409

DR. GRANT HOWARD BONAVIA (M.D.) is a healthcare provider. based in Kensington, Maryland. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101237017 (VA). The NPI Number for DR. GRANT HOWARD BONAVIA (M.D.) is 1174618409

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. GRANT HOWARD BONAVIA (M.D.)
NPI
1174618409
Phone
(301) 761-3073
Address
4412 SAUL RD
Enumeration Date
3 October 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
8886010943
Graduation Year
2003 (23 years ago)
PAC ID
9133584402
Group Practice PAC ID
5991692444
Professional Enrollment ID
I20230420003129
Address ID
MD217715942MO504XXBLVD406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,085 DIAGNOSTIC RADIOLOGY in MD

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Provider Addresses for DR. GRANT HOWARD BONAVIA (M.D.)

  • Saul Road, Rock Creek Hills, South Kensington, Montgomery County, Maryland, 20895, United States

    KENSINGTON, MD 208953731

    Phone: (301) 761-3073

    Fax: (301) 761-3073

    Type: Mailing

  • Wisconsin Avenue, Brookdale, Bethesda, Montgomery County, Maryland, 20016-2137, United States

    BETHESDA, MD 208890001

    Phone: (301) 295-5050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $8.

Total Amount is formed as General ($8) + Research ($0) + Ownership ($0) = $8.

Last reported payment date: 2023-01-16 • Largest payer in this snapshot: Life Molecular Imaging Ltd ($8).

Total Amount

$8

General + Research + Ownership

Payments

1

Total payment records

General Amount

$8

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-16

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: 2023-04-20

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
I20230420003129IDiagnostic RadiologyMDTBD
I20230420003137IDiagnostic RadiologyDCTBD

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
A9575Injection, gadoterate meglumine, 0.1 ml13,55090$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml10,775108$0
A9595Piflufolastat f-18, diagnostic, 1 millicurie24428$0
71046X-ray of chest, 2 views170170$0
78815Nuclear medicine study from skull base to mid-thigh with ct scan169165$0
View full utilization report →

Insurance plans in this area (ZIP 20895)

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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: 5991692444View full group profile
NameSpecialtyState
Diagnostic RadiologyPA
Diagnostic RadiologyMN
Diagnostic RadiologyVA
Diagnostic RadiologyMD
-MD
Diagnostic RadiologyMD
-MD
Diagnostic RadiologyMD
Diagnostic RadiologyMD
Diagnostic RadiologyMD

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. GRANT HOWARD BONAVIA (M.D.)?
DR. GRANT HOWARD BONAVIA (M.D.) — NPI 1174618409 — is the standard way to identify this listing.
Does the file indicate DR. GRANT HOWARD BONAVIA (M.D.) is practicing under active NPI?
Directory data currently reports DR. GRANT HOWARD BONAVIA (M.D.) as active.
What is DR. GRANT HOWARD BONAVIA (M.D.)'s specialty?
The listing groups DR. GRANT HOWARD BONAVIA (M.D.) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. GRANT HOWARD BONAVIA (M.D.) on a map?
Expect Kensington, Maryland as a primary anchor for DR. GRANT HOWARD BONAVIA (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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