DR. ALICE LOY BONNELL (M.D.) – Pediatric Urology Physician, NPI 1083878904
Pediatric Urology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,709 PEDIATRIC MEDICINE in OH
Provider Addresses for DR. ALICE LOY BONNELL (M.D.)
2222 Cherry St
Suite 1800
Toledo, OH 436082673
Phone: (419) 251-8027
Type: Location
2222, Cherry Street, Birckhead Place, Toledo, Lucas County, Ohio, 43608, United States
SUITE 1800
TOLEDO, OH 436082673
Phone: (419) 251-8027
Type: Location
4126 N Holland Sylvania Rd Ste 220
Toledo, OH 436233537
Phone: (419) 251-8030
Type: Location
730 W. High Street
Lima, OH 45801
Phone: (419) 251-8030
Type: Location
1103 Village Square Dr Ste 202
Perrysburg, OH 435511762
Phone: (419) 251-8030
Type: Location
2121 HUGHES DR STE 500
TOLEDO, OH 436063857
Phone:
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 $157.
Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.
Last reported payment date: 2024-01-18 • Largest payer in this snapshot: ConvaTec Inc. ($136).
Total Amount
$157
General + Research + Ownership
Payments
2
Total payment records
General Amount
$157
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $136 |
| COLOPLAST CORP | $21 |
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: 2021-07-21
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 |
|---|---|---|---|---|
| I20110727000732 | I | Pediatric Medicine | OH | TBD |
| I20210721002625 | I | Urology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43608)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Otolaryngology, Urology | OH | |
| Internal Medicine, Pediatric Medicine | OH | |
| Pediatric Medicine, Hospitalist | OH | |
| Cardiovascular Disease (Cardiology), Pediatric Medicine, Pediatric Medicine | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| Pediatric Medicine | IN |
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