FREDDY JEAN KARLO TOLOZA BONILLA MD
NPI 1629607007
Internal Medicine - Endocrinology, Diabetes & Metabolism in Little Rock, AR

Q: What is Freddy Toloza Bonilla's NPI number?

The NPI number for Freddy Toloza Bonilla is 1629607007. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Q: What is Freddy Toloza Bonilla's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment

4301 W MARKHAM ST # 556, LITTLE ROCK, AR 72205(501) 686-8000(501) 526-5148 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, Apr 7, 2020 (2 updates tracked since 2020).

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About Freddy Jean Karlo Toloza Bonilla Md NPPES

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

FREDDY JEAN KARLO TOLOZA BONILLA MD (NPI 1629607007) is an individual endocrinology, diabetes & metabolism provider in Little Rock, Arkansas, licensed in Arkansas (E-19494) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Framingham, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1629607007

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameFREDDY JEAN KARLO TOLOZA BONILLACredential: MD

Location Address4301 W MARKHAM ST # 556Little Rock, AR 72205-7101

Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148

Phone(501) 686-8000

Fax(501) 526-5148

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 7, 2020

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

NPPES CertifiedJuly 13, 2026

✔ NPI 1629607007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in AR · E-19494

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License E-19494 (AR)

4301 W MARKHAM ST # 556, Little Rock, AR 72205

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Secondary Practice Location 1

Location 1115 Lincoln StFramingham, MA 01702-6358 · Phone (508) 383-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan 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

Freddy Jean Karlo Toloza Bonilla Md 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 ID7214398080

PECOS Enrollment IDI20260727001514

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 Reassignment

Medicare enrollment records show Freddy Toloza Bonilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Arkansas For Medical Sciences

Same address

Advanced Practice Midwife

4301 W MARKHAM ST # 783
Little Rock, AR 72205

Reassigned Medicare billing, Arkansas enrollment
2,038 clinicians in this Medicare group

NPI 1043372220 (501) 686-8000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MUTHU VEERA KUMARAN M.D.

Internal Medicine (Medical Oncology)