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

Q: 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.

Q: What is Nicholas Lolli's specialty?

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

Q: 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.

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: November 01, 2026.

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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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Lolli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner-University Medical Group

5.2 mi

Nutrition, Education

535 N WILMOT RD STE 101
Tucson, AZ 85711

Reassigned Medicare billing, Arizona enrollment
1,514 clinicians in this Medicare group

NPI 1932708328 (520) 694-5437

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 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