DR. ROBERT BROWN WOOLLEY MD
NPI 1104995109
Internal Medicine - Nephrology in Provo, UT

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
1055 N 300 W STE 210, PROVO, UT 84604(801) 357-0280(801) 377-2810 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 20, 2025, Dec 19, 2024, Sep 2, 2018 (3 updates tracked since 2018).

About Dr. Robert Brown Woolley Md NPPES

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

DR. ROBERT BROWN WOOLLEY MD (NPI 1104995109) is an individual nephrology provider in Provo, Utah, licensed in Utah (269743-1205) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains a secondary practice location in Nellis Afb.

NPPES Registry Identity

NPI1104995109
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ROBERT BROWN WOOLLEYCredential: MD
Location Address1055 N 300 W STE 210Provo, UT 84604-3374
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · Fax (801) 377-2810
Fax(801) 377-2810
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2001
Enumeration DateNovember 6, 2006
Last NPPES UpdateFebruary 20, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
NPI 1104995109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in UT · 269743-1205 Licensed in IN · 01057426A
Definition
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.
Also ListedPreventive Medicine · Aerospace MedicineTaxonomy 2083A0100X · License 01057426A (IN)
1055 N 300 W STE 210, Provo, UT 84604

Secondary Practice Location 1

Location 14700 Las Vegas Blvd NNellis AFB, NV 89191-6600 · Phone (702) 653-2273

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Brown Woolley Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678756442
PECOS Enrollment IDI20250116001832
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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Castleview Hospital

Acute Care Hospitals · Price, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460011
Location300 North Hospital DrivePrice, UT 84501 · Carbon County
Emergency services Birthing friendly

American Fork Hospital

Acute Care Hospitals · American Fork, UT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460023
Location170 North 1100 EastAmerican Fork, UT 84003 · Utah County
Emergency services Birthing friendly

Sanpete Valley Hospital - Cah

Critical Access Hospitals · Mount Pleasant, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461303
Location1100 South Medical DriveMount Pleasant, UT 84647 · Sanpete County
Emergency services Birthing friendly

Heber Valley Hospital

Critical Access Hospitals · Heber City, UT
OwnershipVoluntary non-profit - Private
CMS Certification Number461307
Location454 East Medical WayHeber City, UT 84032 · Wasatch County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
1055 N 300 W STE 210
PROVO, UT 84604

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 Woolley's NPI number?

The NPI number for Robert Woolley is 1104995109. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Robert Woolley located?

Robert Woolley practices at 1055 N 300 W Ste 210, Provo, UT 84604. The listed phone number is (801) 357-0280.

What is Robert Woolley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Robert Woolley enrolled in Medicare?

Yes. Robert Woolley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Woolley accept?

Health plans from Select Health list Robert Woolley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Woolley affiliated with any hospitals?

According to CMS data, Robert Woolley is affiliated with Utah Valley Hospital, Castleview Hospital, American Fork Hospital, Sanpete Valley Hospital - Cah and Heber Valley Hospital.

When was this NPI record last updated?

The NPPES record for Robert Woolley was last updated on February 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.