Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Bonta, MD

Individual provider Surgery Physician · NPI 1215227004

Alyssa Bonta, MD is a Vascular Surgery in Dayton, Ohio. Graduated from Northeastern Ohio University College of Medicine in 2011, 15 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
15
Trained at
Northeastern Ohio University College of Medicine
Licensed in
OH
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3533 Southern Blvd Ste 2200
Dayton, OH 45429-1264
Phone: (937) 228-4126
Fax: (937) 424-8659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Wyoming St, Dayton, OH 45409-2722 — (937) 208-2485
  • 1 Elizabeth Pl Ste 10a, Dayton, OH 45417 — (937) 228-4126

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 35.122523 (OH)
Surgery Physician Taxonomy 208600000X · Licence 35.122523 (OH)

Record details

NPI number1215227004
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2011
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address1 Prestige Pl Ste 550, Miamisburg, OH 45342-6115

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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