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GINO JOSE BARDI LOLA M.D.
NPI 1700230109
Pediatrics in Douglas, AZ

Active since April 21, 2016PECOS Enrolled
815 E 15TH ST, DOUGLAS, AZ 85607(520) 364-5437 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gino Jose Bardi Lola M.d. NPPES

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

GINO JOSE BARDI LOLA M.D. (NPI 1700230109) is an individual pediatrics provider in Douglas, Arizona, licensed in Arizona (65304) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700230109
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameGINO JOSE BARDI LOLACredential: M.D.
Location Address815 E 15TH STDouglas, AZ 85607-1631
Mailing Address1205 N F AveDouglas, AZ 85607-1920 · (520) 459-3110
Phone(520) 364-5437
Sole ProprietorNo
Enumeration DateApril 21, 2016
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedJanuary 24, 2024
✔ NPI 1700230109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 65304
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
815 E 15TH ST, Douglas, AZ 85607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gino Jose Bardi Lola 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85607 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 17

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

BRENDA KAY JAMES RD/LD
Dietitian, Registered
815 E 15TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-5437
DR. MILLA SERGEERNA ROSEN MD
Pediatrics
815 E 15TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-5437
EDUARDO ANTONIO MARRERO VELIS
Pediatrics
815 E 15TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-5437
MS. GABRIELLE ALEXANDRA LUGO ARNP
Nurse Practitioner (Pediatrics)
815 E 15TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-5437
DR. NEFTALI FRANCISCO FERNANDEZ M.D.
Pediatrics
815 E 15TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-5437
JEFFREY RICHARD HOLZBERG M.D.
Pediatrics
815 E 15TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-5437
DEVYN R THURBER PNP
Nurse Practitioner (Pediatrics)
815 E 15TH ST
DOUGLAS, AZ 85607
Cochise County (520) 459-3012
DR. ZACHARY SEAN PATTERSON M.D.
Pediatrics
815 E 15TH ST
DOUGLAS, AZ 85607
Cochise County (520) 364-5437

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 Gino Bardi Lola's NPI number?

The NPI number for Gino Bardi Lola is 1700230109. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Gino Bardi Lola located?

Gino Bardi Lola practices at 815 E 15th St, Douglas, AZ 85607. The listed phone number is (520) 364-5437.

What is Gino Bardi Lola's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Gino Bardi Lola enrolled in Medicare?

Yes. Gino Bardi Lola is registered in the Medicare PECOS enrollment system.

What insurance does Gino Bardi Lola accept?

Health plans from Blue Cross Blue Shield of Arizona list Gino Bardi Lola 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.

When was this NPI record last updated?

The NPPES record for Gino Bardi Lola was last updated on February 14, 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.