NICHOLAS M. BONTUMASI M.D. – NPI #1306289574
Dermatology

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Health Care Provider Taxonomy Code for Dermatology

NICHOLAS BONTUMASI is a dermatologist located in GRAND HAVEN, MI. NPPES has assigned the NPI number 1306289574 to NICHOLAS BONTUMASI on April 08, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was previously updated about 4 years ago on Feb 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICHOLAS BONTUMASI below.

NPI Profile for
NICHOLAS M. BONTUMASI

NPI Number
1306289574
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NICHOLAS M. BONTUMASI
Credentials
M.D.
Primary location
1600 S BEACON BLVD STE 160
GRAND HAVEN, MI 49417-2654
Phone: (616) 268-2001 Fax: (616) 268-2002
1 Other location(s):
2525 E Paris Ave SE Ste 100
Grand Rapids, MI 49546-6191
Phone: (616) 678-2070
Fax: (616) 940-4578
Mailing address
801 YORK ST
MANITOWOC, WI 54220-4630
Phone: (920) 663-9008 Fax: (920) 684-1439
Sole Proprietor
No
Updated
Certification Date
Feb 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)		 IA R-09922

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1600 S BEACON BLVD STE 160,
GRAND HAVEN, MI 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
2525 E PARIS AVE SE STE 100,
GRAND RAPIDS, MI 77025-1669

Additional Information

Education
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE - Graduated 2013
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
NICHOLAS BONTUMASI is affiliated with the following medical group(s):
  • HOSPITAL
    • SPECTRUM HEALTH
      100 MICHIGAN ST NE
      GRAND RAPIDS, MI 49503
    • ST JOSEPH MERCY HOSPITAL
      5301 E HURON RIVER DR
      ANN ARBOR, MI 48106

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.