DIANGIE ACOSTA BONILLA (MD) – Family Medicine Physician, NPI 1154962645
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,330 FAMILY PRACTICE in MO
Provider Addresses for DIANGIE ACOSTA BONILLA (MD)
13013 FULLER AVE STE A
GRANDVIEW, MO 640302687
Phone: (816) 214-5548
Fax: (816) 326-0990
Type: Location
1337, East 120th Street, Olathe, Johnson County, Kansas, 66061, United States
OLATHE, KS 660619506
Phone: (787) 585-7061
Type: Mailing
4390 66TH ST N
KENNETH CITY, FL 337094920
Phone: (727) 513-4100
Fax: (727) 565-4979
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $60.
Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.
Last reported payment date: 2023-06-07 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($60).
Total Amount
$60
General + Research + Ownership
Payments
1
Total payment records
General Amount
$60
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $60 |
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: 2024-10-11
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 |
|---|---|---|---|---|
| I20230626000195 | I | Family Practice | FL | TBD |
| I20241011003628 | I | Family Practice | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 64030)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Family Practice, Osteopathic Manipulative Medicine | KS | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| Emergency Medicine | OH | |
| Family Practice | NC |
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