MARLENE BONILLA ALICEA (DPM) – Podiatrist, NPI 1588856546
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
232 PODIATRY in MN
Provider Addresses for MARLENE BONILLA ALICEA (DPM)
7801 E BUSH LAKE RD STE 400
MINNEAPOLIS, MN 554393113
Phone: (952) 283-3162
Fax: (866) 991-7241
Type: Mailing
6625 LYNDALE AVE S STE 300
RICHFIELD, MN 554232491
Phone: (612) 788-8778
Fax: (612) 869-3473
Type: Mailing
6625 LYNDALE AVE S STE 105
RICHFIELD, MN 554232673
Phone: (612) 788-8778
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-06-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20190613000730 | I | Podiatry | MN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 1,231 | 858 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 210 | 183 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 168 | 165 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 166 | 151 | $0 |
| G0127 | Trimming of dystrophic nails, any number | 148 | 148 | $0 |
Insurance plans in this area (ZIP 55439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | MN | |
| P O D I A T R Y | MN | |
| P O D I A T R Y | MN | |
| P O D I A T R Y | MN | |
| P O D I A T R Y | IL | |
| P O D I A T R Y | MN | |
| Qualified Audiologist | AZ | |
| P O D I A T R Y | MN | |
| O P T O M E T R Y | MN | |
| - | MN |
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