JUAN ALFREDO BONILLA (M.D.) – Pediatric Otolaryngology Physician, NPI 1548260078
Pediatric Otolaryngology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JUAN ALFREDO BONILLA (M.D.)
PO BOX 29749
SAN ANTONIO, TX 782290749
Phone: (210) 733-4368
Fax: (210) 402-3417
Type: Mailing
16723 HUEBNER RD
SAN ANTONIO, TX 782482351
Phone: (210) 644-3600
Fax: (210) 702-6963
Type: Location
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 782070903
Phone: (210) 358-0572
Fax: (210) 358-5940
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $1,732.
Total Amount is formed as General ($1,732) + Research ($0) + Ownership ($0) = $1,732.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Smith+Nephew, Inc. ($1,711).
Total Amount
$1,732
General + Research + Ownership
Payments
10
Total payment records
General Amount
$1,732
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $1,711 |
| Preceptis Medical, Inc. | $20 |
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: 2004-01-30
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 |
|---|---|---|---|---|
| I20040130000124 | I | Otolaryngology | TX | 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 78229)
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