Ronald August Bonaventura Jr.
NPI 1063880573ActiveIndividual· Nurse Practitioner, Family· Saint Clair Shores, MI
Nurse Practitioner, Family with Henry Ford Health Macomb Oakland Hospital, practicing in Saint Clair Shores, Michigan. Mostly services rather than prescriptions: Medicare paid $6,861 for 19 patients in 2024, with only 24 Part D claims. Lists Henry Ford Health Warren Hospital as a hospital affiliation.
Overview
| NPI | 1063880573 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 14, 2015 |
| Last updated in NPPES | Sep 14, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 4704286546 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 74 across 25 procedure codes |
| Paid by Medicare | $6,861 |
Part D prescriptions in 2024
| Prescriptions (claims) | 24 · 24 30-day fills |
|---|---|
| Patients | 15 |
| Total drug cost | $93.80 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Henry Ford Health Macomb Oakland HospitalWarren, MI · 172 clinicians
Hospital affiliation
- Henry Ford Health Warren HospitalWarren, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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