DR. ERICA DANIELLE BONURA (MD) – Pediatric Cardiology Physician, NPI 1114381779

DR. ERICA DANIELLE BONURA (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in PEDIATRIC MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 2019024487 (MO). The NPI Number for DR. ERICA DANIELLE BONURA (MD) is 1114381779

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERICA DANIELLE BONURA (MD)
NPI
1114381779
Phone
(314) 454-6095
Address
1 CHILDRENS PL
Enumeration Date
11 April 2016
Last Update Date
12 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3145775641
Graduation Year
2016 (10 years ago)
PAC ID
8224320304
Group Practice PAC ID
0143608372
Professional Enrollment ID
I20230113001973
Address ID
MO631041003SA1465XBLVD400

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

878 PEDIATRIC MEDICINE in MO

Provider Addresses for DR. ERICA DANIELLE BONURA (MD)

  • 1 CHILDRENS PL

    MSC 8515-87-1200

    SAINT LOUIS, MO 631101002

    Phone: (314) 454-6095

    Fax: (314) 454-2561

    Type: Mailing

  • 1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States

    ROCHESTER, MN 559050001

    Phone: (507) 284-2511

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-01-05 • Largest payer in this snapshot: Philips North America LLC ($20).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-11-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230113001973IPediatric MedicineMOTBD
I20251124000031IPediatric MedicineILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 63110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143608372View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
Pediatric Medicine, Hematology/OncologyTN
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)MO
Pediatric MedicineIL
G A S T R O E N T E R O L O G YWV
Pediatric Medicine, Cardiovascular Disease (Cardiology)MO
Infectious DiseaseOH
Physician AssistantMO
Pulmonary DiseaseNY

Reviews

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Frequently asked questions

Does DR. ERICA DANIELLE BONURA (MD) have a public NPI I can cite?
Public records show DR. ERICA DANIELLE BONURA (MD) under NPI 1114381779.
Is DR. ERICA DANIELLE BONURA (MD)'s NPI status active today?
Active status means DR. ERICA DANIELLE BONURA (MD)'s NPI record is not deactivated in the public file.
Which specialty label fits DR. ERICA DANIELLE BONURA (MD)?
NPPES ties DR. ERICA DANIELLE BONURA (MD) to Pediatric Cardiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. ERICA DANIELLE BONURA (MD) tied to Saint Louis, Missouri?
If you are local to Saint Louis, Missouri, DR. ERICA DANIELLE BONURA (MD) may be relevant to your search.
Who maintains DR. ERICA DANIELLE BONURA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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