Bonneville Med PC
NPI 1558920926 · Internal Medicine Physician · Globe, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bonneville Med PC is a Internal Medicine Physician organization in Globe, AZ (NPI 1558920926).
Provider details
- NPI number
- 1558920926
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Smitha Sadiq, Sole Member(801) 389-1563
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-06-10
- Last updated
- 2019-06-10
Frequently asked questions
- What is Bonneville Med PC's NPI number?
- Bonneville Med PC's National Provider Identifier (NPI) is 1558920926, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bonneville Med PC?
- Bonneville Med PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bonneville Med PC located?
- Bonneville Med PC's practice location on file with NPPES is 5880 S Hospital Dr, Globe, AZ 85501-9447.
- What is Bonneville Med PC's phone number?
- The practice phone number listed in the NPPES registry for Bonneville Med PC is (801) 389-1563.
- Does Bonneville Med PC accept Medicare?
- Bonneville Med PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bonneville Med PC?
- The authorized official listed on Bonneville Med PC's NPPES record is Smitha Sadiq, Sole Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bonneville Med PC's NPI active?
- Yes — Bonneville Med PC's NPI (1558920926) is active in the NPPES registry as of the last update on 2019-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.