Active NPI
Freddy Jean Karlo Toloza Bonilla, MD
- Endocrinology, Diabetes & Metabolism Physician
- Little Rock, AR
National Provider Identifier
1629607007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- E-19494
- Practice address
- 4301 W Markham St # 556
Little Rock, AR 72205-7101 - Phone
- (501) 686-8000
- Fax
- (501) 526-5148
- NPI assigned
- Apr 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-19494 | AR | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | E-19494 | AR | Primary |
Addresses
Primary practice location
4301 W Markham St # 556
Little Rock, AR 72205-7101
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000
Other practice location 1
115 Lincoln St
Framingham, MA 01702-6358
Phone (508) 383-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230727000604 | MD | Order and Referring Only - Endocrinology | 7214398080 |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Arkansas for Medical Sciences
Practice addresses (Care Compare)
4301 W Markam St
Little Rock, AR 72205-7101
Phone (501) 686-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Little Rock, AR
- NPI 1477549756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1629607007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 556",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
}
],
"practiceLocations": [
{
"address_1": "115 Lincoln St",
"address_purpose": "LOCATION",
"city": "Framingham",
"state": "MA",
"postal_code": "017026358",
"country_code": "US",
"telephone_number": "508-383-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOLOZA BONILLA",
"first_name": "FREDDY",
"middle_name": "JEAN KARLO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-07",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-19494",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AR",
"license": "E-19494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.