ANTHONY F BONACCI (M.D.) – Pediatrics Physician, NPI 1811922958

ANTHONY F BONACCI (M.D.) is a healthcare provider. based in Dorchester, Massachusetts. specializing in Pediatrics Physician. They hold the professional credentials M.D.. They hold a License No. 34425 (MA). The NPI Number for ANTHONY F BONACCI (M.D.) is 1811922958

Main info

Male
Name
ANTHONY F BONACCI (M.D.)
NPI
1811922958
Phone
(617) 754-0050
Address
230 BOWDOIN ST
Enumeration Date
11 July 2006
Last Update Date
8 July 2007
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

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Provider Addresses for ANTHONY F BONACCI (M.D.)

  • 230, Bowdoin Street, Meeting House Hill, Dorchester, Boston, Suffolk County, Massachusetts, 02122, United States

    DORCHESTER, MA 021221817

    Phone: (617) 754-0050

    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: 2005-07-01

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
I20050701000887IPediatric MedicineMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02122)

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Reviews

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Frequently asked questions

Is ANTHONY F BONACCI (M.D.) listed with a National Provider Identifier?
Yes — ANTHONY F BONACCI (M.D.) has NPI 1811922958 on file in the registry.
Is there an active status for ANTHONY F BONACCI (M.D.)?
For scheduling context, ANTHONY F BONACCI (M.D.) is shown as active in the registry.
What expertise is attributed to ANTHONY F BONACCI (M.D.)?
ANTHONY F BONACCI (M.D.)'s specialty line reads Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANTHONY F BONACCI (M.D.)?
Travel planning: use Dorchester, Massachusetts as the reference point for ANTHONY F BONACCI (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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