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DR. ROBERT MATHEW BOLDY M.D.
NPI 1063507382
Internal Medicine in Apple Valley, CA

Active since October 03, 2006PECOS Enrolled
18077 US HIGHWAY 18 STE 100, APPLE VALLEY, CA 92307(760) 946-8169 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 13, 2024, Mar 17, 2023, Dec 7, 2021 and 1 more (4 updates tracked since 2018).

About Dr. Robert Mathew Boldy M.d. NPPES

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

DR. ROBERT MATHEW BOLDY M.D. (NPI 1063507382) is an individual internal medicine provider in Apple Valley, California, licensed in California (G80969) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063507382
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ROBERT MATHEW BOLDYCredential: M.D.
Location Address18077 US HIGHWAY 18 STE 100Apple Valley, CA 92307-2168
Mailing Address18077 Us Highway 18 Ste 100Apple Valley, CA 92307-2168 · (760) 946-8169
Phone(760) 946-8169
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateMay 13, 20244 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1063507382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · G80969✔ Licensed in TX · K2186
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
18077 US HIGHWAY 18 STE 100, Apple Valley, CA 92307
Open in Google Maps ↗

Other Identifiers 1

Other8BX469TX · Blue Cross, Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Mathew Boldy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Robert Boldy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern Monterey County Memorial Hospital
246 mi
Clinic/Center
400 CANAL ST, STE A
King City, CA 93930
  • Reassigned Medicare billing, California enrollment
  • 156 clinicians in this Medicare group
NPI 1821300427 (831) 385-1280

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Robert Boldy's NPI number?

The NPI number for Robert Boldy is 1063507382. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Robert Boldy located?

Robert Boldy practices at 18077 Us Highway 18 Ste 100, Apple Valley, CA 92307. The listed phone number is (760) 946-8169.

What is Robert Boldy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert Boldy enrolled in Medicare?

Yes. Robert Boldy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Boldy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Boldy reassigns Medicare benefits to Southern Monterey County Memorial Hospital (King City, CA). 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 Robert Boldy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Boldy was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.