Doctor profile · Federal record
Dr. Nicholas Bonomo
Psychiatry Physician (CMS: Psychiatry) · Student in an Organized Health Care Education/Training Program · Louisville, KY
- NPI 1104483114
- Accepts Medicare
- 14 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1850 Bluegrass Ave
Louisville, KY 402151161
(502) 361-6731
Credentials & registration
- NPI registered
- May 2019 — 7 yrs on file
- Profile last updated
- June 19, 2025
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 2084P0800X — NUCC code
- State license (1)
- Kentucky #R5660
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104483114. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$145
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| LivaNova USA, INC. | 1 | $145.07 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Nicholas Bonomo's medical specialty?
Dr. Nicholas Bonomo practices Psychiatry Physician in Louisville, KY.
Where does Dr. Nicholas Bonomo practice?
Dr. Nicholas Bonomo practices at 1850 Bluegrass Ave, Louisville, KY 402151161. Office phone: 5023616731.
What is Dr. Nicholas Bonomo's NPI?
Dr. Nicholas Bonomo's National Provider Identifier (NPI) is 1104483114, issued by NPPES.
Does Dr. Nicholas Bonomo accept Medicare assignment?
Yes. Dr. Nicholas Bonomo accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.