Active NPI
Alice Loy Bonnell, M.D.
- Pediatric Urology Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 35.090670
- Practice address
- 2121 Hughes Dr Ste 500
Toledo, OH 43606-3857 - Phone
- (567) 585-8950
- Fax
- (567) 585-8952
- NPI assigned
- Jul 10, 2008
- Last updated
- Oct 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 35.090670 | OH | |
| Pediatric Urology Physician | 2088P0231X | 35.090670 | OH | Primary |
| Pediatric Urology Physician | 2088P0231X | 4301508056 | MI |
Addresses
Primary practice location
2121 Hughes Dr Ste 500
Toledo, OH 43606-3857
Mailing address
2121 Hughes Dr Ste 500
Toledo, OH 43606-3857
Other practice location 1
2222 Cherry St
Suite 1800
Toledo, OH 43608-2673
Phone (419) 251-8027
Other practice location 2
3535 W 13 Mile Rd Ste 507
Royal Oak, MI 48073-6770
Phone (248) 551-4650
Other practice location 3
730 W. High Street
Lima, OH 45801
Phone (419) 251-8030
Other practice location 4
1103 Village Square Dr Ste 202
Perrysburg, OH 43551-1762
Phone (419) 251-8030
Other practice location 5
4126 N Holland Sylvania Rd Ste 220
Toledo, OH 43623-3537
Phone (419) 251-8030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0051881 | Medicaid | OH | |
| 35090670 | Other | OH | OH MEDICAL LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abonnell3717360@epic00.corewelldirect.org | ||
| Direct Messaging Address | abonnell12863@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 W Central Ave
Suite 100
Toledo, OH 43606-3817
Phone (419) 537-5111
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Pediatric Specialists, LLC | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Promedica Children's Specialists | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259
1103 Village Square Dr
Ste 202
Perrysburg, OH 43551
Phone (419) 251-8013
2100 W Central Ave
Ste 100
Toledo, OH 43606
Phone (419) 537-5111
2120 W Central Ave
Toledo, OH 43606
Phone (419) 531-8558
2121 Hughes Dr
Ste 220
Toledo, OH 43606
Phone (419) 291-7403
2222 Cherry St
Toledo, OH 43608
Phone (419) 251-4200
2222 Cherry St
Ste 1800
Toledo, OH 43608
Phone (419) 251-4300
2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013
4126 N Holland Sylvania Rd
Ste 220
Toledo, OH 43623
Phone (419) 517-7600
Interoperability endpoints
- abonnell12863@direct.promedica.org
- abonnell47871@direct.bsmhealth.org
- https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
- https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Toledo, OH
- NPI 1245444959
-
- Pediatrics Physician
- Toledo, OH
- NPI 1033709100
-
dba M Health Fairview Recovery Clinic
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
dba University of Minnesota Physicians Heart at Fairview
- Cardiovascular Disease Physician
- Burnsville, MN
- NPI 1891930442
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1083878904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 HUGHES DR STE 500",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 HUGHES DR STE 500",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063857",
"telephone_number": "567-585-8950",
"fax_number": "567-585-8952"
}
],
"practiceLocations": [
{
"address_1": "2222 Cherry St",
"address_2": "Suite 1800",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436082673",
"country_code": "US",
"telephone_number": "419-251-8027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3535 W 13 Mile Rd Ste 507",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736770",
"country_code": "US",
"telephone_number": "248-551-4650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "730 W. High Street",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "45801",
"country_code": "US",
"telephone_number": "419-251-8030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1103 Village Square Dr Ste 202",
"address_purpose": "LOCATION",
"city": "Perrysburg",
"state": "OH",
"postal_code": "435511762",
"country_code": "US",
"telephone_number": "419-251-8030",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4126 N Holland Sylvania Rd Ste 220",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436233537",
"country_code": "US",
"telephone_number": "419-251-8030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONNELL",
"first_name": "ALICE",
"middle_name": "LOY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "OH",
"license": "35.090670",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "OH",
"license": "35.090670",
"primary": true
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "MI",
"license": "4301508056",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0051881",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH MEDICAL LICENSE",
"identifier": "35090670",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abonnell3717360@epic00.corewelldirect.org",
"affiliation": "N",
"address_1": "3535 W 13 Mile Rd Ste 507",
"city": "Royal Oak",
"state": "MI",
"country_code": "US",
"postal_code": "480736770",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "abonnell12863@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "2121 Hughes Dr Ste 500",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436063857",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.