KENT W. JOLLY MD
NPI 1982782637
Pediatrics - Pediatric Hematology-Oncology in Roseville, CA
About Kent W. Jolly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENT W. JOLLY MD (NPI 1982782637) is an individual pediatric hematology-oncology provider in Roseville, California, licensed in California (G58699) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kent W. Jolly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
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 Kent Jolly's NPI number?
The NPI number for Kent Jolly is 1982782637. It was assigned to this individual provider in the NPPES registry on November 1, 2006.
Where is Kent Jolly located?
Kent Jolly practices at 1600 Eureka Rd, Roseville, CA 95661. The listed phone number is (916) 784-4000.
What is Kent Jolly's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.
Is Kent Jolly enrolled in Medicare?
Yes. Kent Jolly is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kent Jolly was last updated on December 13, 2021. 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.
# Kent W. Jolly, MD · NPI 1982782637
Pediatric Hematology-Oncology physician in Roseville, California. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1982782637 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Pediatrics - Pediatric Hematology-Oncology · taxonomy 2080P0207X
- **State license:** G58699 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 EUREKA RD, Roseville, CA 95661-3027
- **Phone:** (916) 784-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** December 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1982782637) · Data from the CMS NPPES public registry.