Bonifasiyo Ssennyamantono, MD
NPI 1902813678 · Cardiovascular Disease Physician · Avondale, AZ
Enrolled with Medicare as Practitioner - Cardiovascular Disease (cardiology) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bonifasiyo Ssennyamantono, MD is a Cardiovascular Disease Physician provider in Avondale, AZ (NPI 1902813678).
Provider details
- NPI number
- 1902813678
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35788 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,249 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 636 | $123 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function93306 | 318 | $185 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 281 | $8 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 259 | $14 |
| Technetium Tc-99m Sestamibi, Diagnostic, Per Study DoseA9500 | 256 | $145 |
| Ultrasound of Heart With Color-Depicted Blood Flow, Rate, Direction and Valve Function |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 36 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 326 | 112 |
| Atorvastatin Calcium | 323 | 118 |
| Apixabanbrand: Eliquis | 246 | 74 |
| Amlodipine Besylate | 222 | 85 |
| Hydrochlorothiazide | 212 | 83 |
| Losartan Potassium | 211 | 72 |
| Metoprolol Tartrate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$620 across 32 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-02
- Last updated
- 2024-07-31
- Certified
- 2024-07-31
Frequently asked questions
- What is Bonifasiyo Ssennyamantono's NPI number?
- Bonifasiyo Ssennyamantono's National Provider Identifier (NPI) is 1902813678, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bonifasiyo Ssennyamantono's specialty?
- Bonifasiyo Ssennyamantono is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Bonifasiyo Ssennyamantono located?
- Bonifasiyo Ssennyamantono's practice location on file with NPPES is 10815 W Mcdowell Rd, Avondale, AZ 85392-5007.
- What is Bonifasiyo Ssennyamantono's phone number?
- The practice phone number listed in the NPPES registry for Bonifasiyo Ssennyamantono is (623) 433-0202.
- Does Bonifasiyo Ssennyamantono accept Medicare?
- Bonifasiyo Ssennyamantono is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bonifasiyo Ssennyamantono's NPI active?
- Yes — Bonifasiyo Ssennyamantono's NPI (1902813678) is active in the NPPES registry as of the last update on 2024-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.