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DR. ROBERT EDWIN NOLL JR. M.D.
NPI 1275654295
Surgery in Mather, CA

Active since April 03, 2007PECOS Enrolled
10535 HOSPITAL WAY, SURGICAL SERVICE (112/SMAT), MATHER, CA 95655(916) 843-9388 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Apr 11, 2018 (2 updates tracked since 2018).

About Dr. Robert Edwin Noll Jr. M.d. NPPES

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

DR. ROBERT EDWIN NOLL JR. M.D. (NPI 1275654295) is an individual surgery provider in Mather, California, licensed in California (C54369) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Travis Afb.

NPPES Registry Identity

NPI1275654295
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ROBERT EDWIN NOLL JR.Credential: M.D.
Location Address10535 HOSPITAL WAY, SURGICAL SERVICE (112/SMAT)Mather, CA 95655-4200
Mailing Address10535 Hospital Way, Surgical Service (112/smat)Mather, CA 95655-4200 · (916) 843-9388
Phone(916) 843-9388
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1275654295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · C54369
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
10535 HOSPITAL WAY, Mather, CA 95655
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Secondary Practice Location 1

Location 1101 Bodin CirTravis AFB, CA 94535-1809 · Phone (707) 423-2300

Other Identifiers 2

Medicaid04009361MS
Medicaid1077691LA

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 Edwin Noll Jr. 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 Noll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Medical Foundation
8.9 mi
Diagnostic Radiology
2800 L ST FL 7
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Sutter Valley Medical Foundation
  • 3,056 clinicians in this Medicare group
NPI 1942524095 (916) 731-7857

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 95655 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

ALAYNA HUYNH NGUYEN
Pharmacist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-7000
MS. JANE CHAN RPH
Pharmacist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 366-5321
DR. PATRICIA L. DALTON M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
10535 HOSPITAL WAY, DEPT. OF VA SACRAMENTO MEDICAL CENTER
MATHER, CA 95655
Sacramento County (916) 843-7000
DR. NICHOLAS RANDALL MORRIS M.D.
Psychiatry & Neurology (Psychiatry)
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-7000
SHIN SHAN CHO
Dietitian, Registered
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-9022
BRENDA JACKSON LMFT
Marriage & Family Therapist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-2918
UMELO UGWOABA PHD, MPH
Psychologist
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-2699
JEFFREY JON METER MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
10535 HOSPITAL WAY
MATHER, CA 95655
Sacramento County (916) 843-7324

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 Noll's NPI number?

The NPI number for Robert Noll is 1275654295. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Robert Noll located?

Robert Noll practices at 10535 Hospital Way Surgical Service (112/Smat), Mather, CA 95655. The listed phone number is (916) 843-9388.

What is Robert Noll's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Noll enrolled in Medicare?

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

Which organization bills Medicare for Robert Noll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Noll reassigns Medicare benefits to Sutter Medical Foundation (Sacramento, 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 Noll'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 Noll was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.