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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ALICE LOY BONNELL M.D.
NPI 1083878904
Urology - Pediatric Urology in Toledo, OH

Active since July 10, 2008PECOS EnrolledAccepts Medicare Assignment
2121 HUGHES DR STE 500, TOLEDO, OH 43606(567) 585-8950(567) 585-8952 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2026, Apr 1, 2026, Nov 3, 2023 and 2 more (5 updates tracked since 2017).

About Dr. Alice Loy Bonnell M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALICE LOY BONNELL M.D. (NPI 1083878904) is an individual pediatric urology provider in Toledo, Ohio, licensed in Ohio (35.090670) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of University Of Kentucky College Of Medicine (2004).

NPPES Registry Identity

NPI1083878904
Entity TypeIndividualFemale
Primary Taxonomy2088P0231X
Provider Legal NameDR. ALICE LOY BONNELLCredential: M.D.
Location Address2121 HUGHES DR STE 500Toledo, OH 43606-3857
Mailing Address2121 Hughes Dr Ste 500Toledo, OH 43606-3857
Phone(567) 585-8950
Fax(567) 585-8952
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2004
Enumeration DateJuly 10, 2008
Last NPPES UpdateOctober 2, 20265 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1083878904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Licenses✔ Licensed in OH · 35.090670✔ Licensed in MI · 4301508056
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedUrologyTaxonomy 208800000X · License 35.090670 (OH)
2121 HUGHES DR STE 500, Toledo, OH 43606
Open in Google Maps ↗

Secondary Practice Locations 5

Location 12222 Cherry St, Suite 1800Toledo, OH 43608-2673 · Phone (419) 251-8027
Location 23535 W 13 Mile Rd Ste 507Royal Oak, MI 48073-6770 · Phone (248) 551-4650
Location 3730 W. High StreetLima, OH 45801 · Phone (419) 251-8030
Location 41103 Village Square Dr Ste 202Perrysburg, OH 43551-1762 · Phone (419) 251-8030
Location 54126 N Holland Sylvania Rd Ste 220Toledo, OH 43623-3537 · Phone (419) 251-8030

Other Identifiers 2

Medicaid0051881OH
Other35090670OH · Oh Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alice Loy Bonnell M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466620927
PECOS Enrollment IDI20110727000732
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Alice Bonnell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Pediatric Specialists, LLC
2.8 mi
Pediatrics
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 233 clinicians in this Medicare group
NPI 1033709100 (419) 251-3232
Promedica Children's Specialists
3.6 mi
Pediatrics
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 70 clinicians in this Medicare group
NPI 1245444959 (567) 585-1969
Fairview Express Care
520 mi
Pediatric Rehabilitation Medicine
9680 TAMARACK RD, SUITE 130
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1700235587 (612) 273-1172

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA L BOSTATER CPNP
Nurse Practitioner (Pediatrics)
2121 HUGHES DR STE 500
TOLEDO, OH 43606
Lucas County (567) 585-8950
KRISTIE ANELLO CPNP
Nurse Practitioner (Pediatrics)
2121 HUGHES DR STE 500
TOLEDO, OH 43606
Lucas County (567) 585-8950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alice Bonnell's NPI number?

The NPI number for Alice Bonnell is 1083878904. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Alice Bonnell located?

Alice Bonnell practices at 2121 Hughes Dr Ste 500, Toledo, OH 43606. The listed phone number is (567) 585-8950.

What is Alice Bonnell's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Alice Bonnell enrolled in Medicare?

Yes. Alice Bonnell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Alice Bonnell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Bonnell reassigns Medicare benefits to 3 organizations: Northwest Pediatric Specialists, LLC (Toledo, OH), Promedica Children's Specialists (Toledo, OH) and Fairview Express Care (Woodbury, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alice Bonnell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alice Bonnell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 5 other insurers list Alice Bonnell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alice Bonnell was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.