KATELYN E BONKOWSKI (MD) – Family Medicine Physician, NPI 1043870280

KATELYN E BONKOWSKI (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4351045481 (MI). The NPI Number for KATELYN E BONKOWSKI (MD) is 1043870280

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN E BONKOWSKI (MD)
NPI
1043870280
Phone
(616) 685-6922
Address
300 LAFAYETTE AVE SE STE 4000
Enumeration Date
19 June 2019
Last Update Date
12 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7348535694
Graduation Year
2019 (7 years ago)
PAC ID
2264769439
Group Practice PAC ID
1759792799
Professional Enrollment ID
I20221005002358
Address ID
MI481521489LI37595RDXX432
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for KATELYN E BONKOWSKI (MD)

  • Lafayette Avenue Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49507, United States

    GRAND RAPIDS, MI 495034692

    Phone: (616) 685-6922

    Type: Location

  • 37595 7 MILE RD STE 210

    LIVONIA, MI 481521489

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: PFIZER INC. ($54).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$54
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: 2022-10-05

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
I20221005002358IFamily PracticeMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13553$0
99238Hospital discharge day management, 30 minutes or less5653$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5048$0
99214Established patient office or other outpatient visit, 30-39 minutes4639$0
99213Established patient office or other outpatient visit, 20-29 minutes2524$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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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: 1759792799View full group profile
NameSpecialtyState
Family PracticeMI
Family PracticeMI
Family PracticeMI
Internal MedicineMI
Family PracticeMI
Internal MedicineMI
Internal MedicineMI
Family PracticeMI
Family Practice, Sports MedicineVA
Family Practice, Obstetrics/GynecologyMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to KATELYN E BONKOWSKI (MD)?
The federal identifier for KATELYN E BONKOWSKI (MD) is NPI 1043870280.
Does this profile mean KATELYN E BONKOWSKI (MD) is currently active?
Yes — KATELYN E BONKOWSKI (MD) appears active in the national provider directory.
What kind of provider is KATELYN E BONKOWSKI (MD)?
The page reflects Family Medicine Physician for KATELYN E BONKOWSKI (MD). Clinical services aligned with this taxonomy classification.
Where is KATELYN E BONKOWSKI (MD)'s primary listing?
We display Grand Rapids, Michigan because that is what the record indicates for KATELYN E BONKOWSKI (MD).
How can I contact KATELYN E BONKOWSKI (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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