Individual provider Active NPI

Alice Loy Bonnell, M.D.

  • Pediatric Urology Physician
  • Toledo, OH
National Provider Identifier
1083878904
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Urology PhysicianTaxonomy code 2088P0231X
License
35.090670 Issued in OH
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0051881MedicaidOH
35090670OtherOHOH MEDICAL LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
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, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110727000732 OH Practitioner - Pediatric MedicinePractitioner - Urology 2466620927 Reassigns benefits to 2 organizations
I20210721002625 MN Practitioner - Urology 2466620927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Urology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Children's SpecialistsGroup PAC ID 6709975345, 16 clinicians

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

OrganizationSpecialtyStatusNew patients
Northwest Pediatric Specialists, LLC CurrentSince Mar 1, 2023 Accepting new patients
Fairview Express Care Current Accepting new patients
Promedica Children's Specialists CurrentSince Mar 1, 2022 Accepting new patients
Fairview Express Care CurrentSince Jun 18, 2021 Accepting new patients
Fairview Express Care CurrentSince Jun 18, 2021 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

  • Direct secure messaging: abonnell12863@direct.promedica.org
  • Direct secure messaging: abonnell47871@direct.bsmhealth.org
  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.