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MARIMAR DE LA CRUZ BONILLA MD, PHD
NPI 1750944229
Student in an Organized Health Care Education/Training Program in Houston, TX

Active since April 19, 2019PECOS Enrolled
1 BAYLOR PLZ # BCM320, HOUSTON, TX 77030(832) 824-1170(832) 825-6497 Get Directions Write a Review

NPPES record last updated: May 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 8, 2026, May 6, 2020, Apr 19, 2019 (3 updates tracked since 2019).

About Marimar De La Cruz Bonilla Md, Phd NPPES

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

MARIMAR DE LA CRUZ BONILLA MD, PHD (NPI 1750944229) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of University Of Puerto Rico School Of Medicine (2020).

NPPES Registry Identity

NPI1750944229
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARIMAR DE LA CRUZ BONILLACredential: MD, PHD
Location Address1 BAYLOR PLZ # BCM320Houston, TX 77030-3411
Mailing Address1 Baylor Plz # Bcm320Houston, TX 77030-3411 · (832) 824-1170 · Fax (832) 825-6497
Phone(832) 824-1170
Fax(832) 825-6497
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2020
Enumeration DateApril 19, 2019
Last NPPES UpdateMay 6, 20203 updates tracked since enumeration
NPPES CertifiedMay 6, 2020
✔ NPI 1750944229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 BAYLOR PLZ # BCM320, Houston, TX 77030
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Secondary Practice Location 1

Location 11 Baylor Plz # Bcm320Houston, TX 77030-3411 · Phone (832) 824-1170 · Fax (832) 825-6497

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marimar De La Cruz Bonilla Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426529033
PECOS Enrollment IDI20260604002489
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 Marimar De La Cruz Bonilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Children's Physician Group
0.3 mi
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
NPI 1861675506 (832) 824-1000

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 20

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

KHANH LINH NGUYEN MD
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030
Harris County (832) 824-1170
SRAVYA REDDY GURIVIREDDYGARI MD, MPH
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030
Harris County (832) 824-1170
COURTNEY THUY HANG HUYNH
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030
Harris County (832) 824-1170
ASHWIN SRIVATSAV
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030
Harris County (832) 824-1170
CHARLES BURKE
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030
Harris County (832) 824-1170
LAWRENCE WILLIAM MORRIS HAMILTON
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030
Harris County (832) 824-1170
DR. ALISHA SADHWANI MBBS, BSC
Student in an Organized Health Care Education/Training Program
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030
Harris County (832) 824-1170
ELLEN WITTE MUELLER MD
Pediatrics
1 BAYLOR PLZ # BCM320
HOUSTON, TX 77030
Harris County (832) 824-1170

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 Marimar De La Cruz Bonilla's NPI number?

The NPI number for Marimar De La Cruz Bonilla is 1750944229. It was assigned to this individual provider in the NPPES registry on April 19, 2019.

Where is Marimar De La Cruz Bonilla located?

Marimar De La Cruz Bonilla practices at 1 Baylor Plz # Bcm320, Houston, TX 77030. The listed phone number is (832) 824-1170.

What is Marimar De La Cruz Bonilla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marimar De La Cruz Bonilla enrolled in Medicare?

Yes. Marimar De La Cruz Bonilla is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marimar De La Cruz Bonilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marimar De La Cruz Bonilla reassigns Medicare benefits to Texas Children's Physician Group (Houston, TX). The 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 Marimar De La Cruz Bonilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marimar De La Cruz Bonilla accept?

Health plans from UnitedHealthcare list Marimar De La Cruz Bonilla 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 Marimar De La Cruz Bonilla was last updated on May 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.