ALYSSA BONTA (M.D.) – Vascular Surgery Physician, NPI 1215227004

ALYSSA BONTA (M.D.) is a healthcare provider. based in Dayton, Ohio. specializing in VASCULAR SURGERY. They hold the professional credentials M.D.. They hold a License No. 35.122523 (OH). The NPI Number for ALYSSA BONTA (M.D.) is 1215227004

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA BONTA (M.D.)
NPI
1215227004
Phone
(937) 228-4126
Address
1 Elizabeth Pl Ste 10A
Enumeration Date
13 April 2011
Last Update Date
13 August 2024

Doctor Profile

Medical School Name
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9372987751
Graduation Year
2011 (15 years ago)
PAC ID
5294963872
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20180627003651
Address ID
OH454292405KE4441XAVEX400
Telehealth
Yes

Contacts

Secure Messaging
abonta459296@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

303 VASCULAR SURGERY in OH

Provider Addresses for ALYSSA BONTA (M.D.)

  • 1 Elizabeth Pl Ste 10A

    Dayton, OH 45417

    Phone: (937) 228-4126

    Fax: (937) 228-0247

    Type: Location

  • 1 ELIZABETH PL STE 10A

    DAYTON, OH 45417

    Phone: (937) 228-4126

    Fax: (937) 228-0247

    Type: Location

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1310

    Fax: (937) 522-8493

    Type: Mailing

  • 3533 SOUTHERN BLVD STE 2200

    DAYTON, OH 454291264

    Phone: (937) 228-4126

    Fax: (937) 424-8659

    Type: Location

  • 1 Wyoming St

    Dayton, OH 454092722

    Phone: (937) 208-2485

    Fax: (937) 208-2105

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2024-02-29 • Largest payer in this snapshot: AngioDynamics, Inc. ($136).

Total Amount

$149

General + Research + Ownership

Payments

2

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-29

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: 2018-06-27

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
I20180627003651IVascular SurgeryOHTBD

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
93970Ultrasound study of arm or leg veins with compression and maneuvers283262$0
93880Ultrasound of both sides of head and neck blood flow134133$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers123118$0
93923Complete ultrasound study of arm and leg arteries8483$0
93922Ultrasound study of arm and leg arteries7470$0
View full utilization report →

Insurance plans in this area (ZIP 45417)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

Can I use this page to confirm ALYSSA BONTA (M.D.)'s NPI?
Yes. ALYSSA BONTA (M.D.) is listed with NPI 1215227004 in the public NPI dataset.
Is ALYSSA BONTA (M.D.) listed as active for patients and plans?
The listing shows ALYSSA BONTA (M.D.) as active in the NPI system.
What is ALYSSA BONTA (M.D.)'s primary classification?
Vascular Surgery Physician is the headline specialty for ALYSSA BONTA (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does ALYSSA BONTA (M.D.) serve?
ALYSSA BONTA (M.D.)'s listing highlights Dayton, Ohio; more addresses can appear in NPPES.
Why does ALYSSA BONTA (M.D.) 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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