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Dr. Robert Brown Woolley , MD

Internal Medicine - Nephrology β€’ Provo, UT

Active NPI 1104995109 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

1055 N 300 W Ste 210
Provo, UT 846043374

Call 8013570280 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1055 N 300 W Ste 210

Provo, UT 846043374

Telephone 8013570280
Fax 8013772810
Organization at the Same NPPES Address or Phone
Ihc Health Services Inc Facility NPI 1144881434

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Nellis Afb, NV. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Ihc Health Services Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2001

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

25 years (graduated 2001)

CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Woolley has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Woolley as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Provo and Utah

6 active clinicians are listed under Internal Medicine - Nephrology with a practice address in Provo, UT (84 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-20
Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

License # reported to NPPES UT 269743-1205

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

License # reported to NPPES IN 01057426A

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Preventive Medicine - Aerospace Medicine

NUCC Taxonomy Code: 2083A0100X

License # reported to NPPES IN 01057426A

Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NEPHROLOGY

Medicare Enrollment ID

I20250116001832

Enrollment State Jurisdiction

UT

PECOS Control ID

3678756442

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Ihc Health Services Inc

1055 N 300, Provo, UT 846043374

Phone: 8013570280

Secondary Practice Locations

4700 Las Vegas Blvd N

Nellis Afb, NV 891916600

Phone: 7026532273

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Pace Romney , MD

Internal Medicine - Nephrology

NPI 1023453768

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸ“
Updated Business Mailing Address February 20, 2025

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2025

Internal Medicine (license number reported to NPPES: IN 01057426A)

πŸ“
Updated Practice Location December 19, 2024

Registered at 1055 N 300 W STE 210, PROVO, UT 846043374 (Tel: 8013570280)

πŸ“
Updated Business Mailing Address December 19, 2024

Registered at 1055 N 300 W STE 210, PROVO, UT 846043374 (Tel: 8013570280)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2024

Preventive Medicine (license number reported to NPPES: IN 01057426A)

πŸ“
Updated Practice Location September 21, 2023

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532273)

πŸ“
Updated Business Mailing Address September 21, 2023

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532273)

πŸ“
Updated Practice Location September 02, 2018

Registered at RAF LAKENHEATH 48 MDG/SGHC UNIT 5115, APO, AE 09461 (Tel: 3142268124)

πŸ“
Updated Business Mailing Address September 02, 2018

Registered at RAF LAKENHEATH 48 MDG/SGHC UNIT 5115, APO, AE 094615115 (Tel: 3142268124)

πŸ‘€
Provider Name / Credentials Updated September 02, 2018

Recorded as ROBERT WOOLLEY, MD

βœ…
NPI Profile Active April 25, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 25, 2008

Registered at 60 MDOS SGOMK, 101 BODIN CIR, TRAVIS AFB, CA 94535 (Tel: 7074235011)

πŸ“
Business Mailing Address (Initial Record) April 25, 2008

Registered at 60 MDOS SGOMK, 101 BODIN CIR, TRAVIS AFB, CA 94535 (Tel: 7074235011)

πŸ‘€
Provider Name / Credentials (Initial Record) April 25, 2008

Recorded as ROBERT WOOLLEY, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2008

Internal Medicine (license number reported to NPPES: IN 01057426A)

🟒
Initial NPI Registration & Enumeration November 06, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104995109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 06, 2006
Last Update: February 20, 2025
Sole Proprietor: No

Other Internal Medicine - Nephrology Specialists in Provo

Healthcare providers in Provo

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.