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BOBBY I. ENDO MD
NPI 1972062966
Internal Medicine - Cardiovascular Disease in Salt Lake City, UT

Active since March 18, 2019PECOS Enrolled
30 N 1900 E RM 4A100, SALT LAKE CITY, UT 84132(801) 587-2451 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bobby I. Endo Md NPPES

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

BOBBY I. ENDO MD (NPI 1972062966) is an individual cardiovascular disease provider in Salt Lake City, Utah, licensed in Utah (12762241-1205) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1972062966
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameBOBBY I. ENDOCredential: MD
Location Address30 N 1900 E RM 4A100Salt Lake City, UT 84132-0002
Mailing Address30 N 1900 E Rm 4a100Salt Lake City, UT 84132-0002 · (801) 587-2451
Phone(801) 587-2451
Sole ProprietorNo
Enumeration DateMarch 18, 2019
Last NPPES UpdateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1972062966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in UT · 12762241-1205
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

30 N 1900 E RM 4A100, Salt Lake City, UT 84132
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Secondary Practice Location 1

Location 175 Francis StBoston, MA 02115-6110 · Phone (617) 732-5500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bobby I. Endo Md 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 84132 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

MRS. JACQUELINE M LUNT PA-C
Physician Assistant
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 213-2387
CARLOS E. RODRIGUEZ CORREA MD
Internal Medicine (Cardiovascular Disease)
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-7676
DR. BEN SADEH MD
Student in an Organized Health Care Education/Training Program
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-7676
MR. JACOB C FETZER PA-C
Physician Assistant
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-7676
DR. RAVI RANJAN MD
Internal Medicine (Clinical Cardiac Electrophysiology)
30 N 1900 E RM 4A100, HEALTH SCIENCES CENTER
SALT LAKE CITY, UT 84132
Salt Lake County (801) 587-5888
JEAN GROSE
Physician Assistant (Medical)
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-7676
CHRISTY LAN MA PA-C
Physician Assistant
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 585-2341
CHRISTOS KAPELIOS MD
Student in an Organized Health Care Education/Training Program
30 N 1900 E RM 4A100
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-2401

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 Bobby Endo's NPI number?

The NPI number for Bobby Endo is 1972062966. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Bobby Endo located?

Bobby Endo practices at 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132. The listed phone number is (801) 587-2451.

What is Bobby Endo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Bobby Endo enrolled in Medicare?

Yes. Bobby Endo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bobby Endo was last updated on March 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.