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NICHOLAS BLAINE LOLLI MD
NPI 1205571650
Obstetrics & Gynecology in Tucson, AZ

Active since April 30, 2022PECOS Enrolled
1501 N CAMPBELL AVE, TUCSON, AZ 85724(520) 694-6010(520) 694-2530 Get Directions Write a Review

NPPES record last updated: April 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas Blaine Lolli Md NPPES

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

NICHOLAS BLAINE LOLLI MD (NPI 1205571650) is an individual obstetrics & gynecology provider in Tucson, Arizona, licensed in Arizona (R79464) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2022).

NPPES Registry Identity

NPI1205571650
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameNICHOLAS BLAINE LOLLICredential: MD
Location Address1501 N CAMPBELL AVETucson, AZ 85724-0001
Mailing Address1501 N Campbell Ave Box 245078Tucson, AZ 85724-0001 · (520) 694-6010 · Fax (520) 694-2530
Phone(520) 694-6010
Fax(520) 694-2530
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2022
Enumeration DateApril 30, 2022
NPPES CertifiedApril 30, 2022
✔ NPI 1205571650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AZ · R79464
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1501 N CAMPBELL AVE, Tucson, AZ 85724
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Blaine Lolli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315411196
PECOS Enrollment IDI20260702000792
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85724 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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 20

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

MR. DOUGLAS FRANK LARSON PH.D.
Perfusionist
1501 N CAMPBELL AVE, SUITE 4402 ARIZONA HEALTH SCIENCE CENTER
TUCSON, AZ 85724
Pima County (520) 626-6339
MARTIN DEMANT
Pediatrics
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 626-6507
STEPHANIE RUNKE MD
Obstetrics & Gynecology
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-2530
ASHLEY AZIZI ASSADI MD
Pediatrics
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 626-7944
STUART HAMEROFF MD
Anesthesiology
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-8888
JOHN GUISTO MD
Emergency Medicine
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 874-3500
BALDASSARRE STEA MD, PHD
Radiology (Radiation Oncology)
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 694-7236
NAOMI E RANCE MD, PHD
Pathology (Neuropathology)
1501 N CAMPBELL AVE
TUCSON, AZ 85724
Pima County (520) 874-7400

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 Nicholas Lolli's NPI number?

The NPI number for Nicholas Lolli is 1205571650. It was assigned to this individual provider in the NPPES registry on April 30, 2022.

Where is Nicholas Lolli located?

Nicholas Lolli practices at 1501 N Campbell Ave, Tucson, AZ 85724. The listed phone number is (520) 694-6010.

What is Nicholas Lolli's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nicholas Lolli enrolled in Medicare?

Yes. Nicholas Lolli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Lolli was last updated on April 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.