MILDREDE N BONGLACK (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1134612013
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,008 OBSTETRICS/GYNECOLOGY in CA
Provider Addresses for MILDREDE N BONGLACK (MD)
797 W CHILDS AVE
MERCED, CA 953416805
Phone:
Type: Mailing
797 W Childs Ave
Merced, CA 953416805
Phone: (209) 384-6498
Fax: (209) 359-2045
Type: Location
University of Iowa Hospitals & Clinics, 200, Hawkins Drive, Iowa City, Johnson County, Iowa, 52245, United States
IOWA CITY, IA 522421009
Phone:
Type: Mailing
2625 E DIVISADERO ST
FRESNO, CA 937211431
Phone: (559) 453-5200
Fax: (559) 453-5233
Type: Mailing
2210 E ILLINOIS AVE STE 408
FRESNO, CA 937012184
Phone: (559) 443-2694
Fax: (559) 443-2696
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $545.
Total Amount is formed as General ($545) + Research ($0) + Ownership ($0) = $545.
Last reported payment date: 2024-10-28 • Largest payer in this snapshot: Medtronic, Inc. ($379).
Total Amount
$545
General + Research + Ownership
Payments
5
Total payment records
General Amount
$545
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $379 |
| Axonics, Inc. | $140 |
| Laborie Medical Technologies Corp. | $25 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-10-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250506000984 | I | Obstetrics/Gynecology | OH | TBD |
| I20251014003584 | I | Obstetrics/Gynecology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95341)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CA | |
| Endocrinology, Internal Medicine | CA | |
| Hospice/Palliative Care, Internal Medicine | CA | |
| Emergency Medicine | RI | |
| Emergency Medicine | CA | |
| Emergency Medicine, Medical Toxicology | CA | |
| Emergency Medicine | CA | |
| Hospitalist, Internal Medicine | CA | |
| Emergency Medicine, Hospice/Palliative Care | CA | |
| Emergency Medicine | CA |
Reviews
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