DR. ROBERT JOHN BOLLO (MD) – Neurological Surgery Physician, NPI 1013129584

DR. ROBERT JOHN BOLLO (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. 244054 (NY). The NPI Number for DR. ROBERT JOHN BOLLO (MD) is 1013129584

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT JOHN BOLLO (MD)
NPI
1013129584
Phone
(801) 213-3900
Address
PO BOX 413030
Enumeration Date
4 May 2007
Last Update Date
28 October 2021

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8015877109
Graduation Year
2003 (23 years ago)
PAC ID
6305017286
Group Practice PAC ID
0547552473
Professional Enrollment ID
I20130426000289
Address ID
UT841131103SA100XXDRXX500

Contacts

Secure Messaging
rbollo16634@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

76 NEUROSURGERY in UT

Loading map...

Provider Addresses for DR. ROBERT JOHN BOLLO (MD)

  • PO BOX 413030

    SALT LAKE CITY, UT 841413030

    Phone: (801) 213-3900

    Type: Mailing

  • 50, North Medical Drive, Salt Lake City, Salt Lake County, Utah, 84113, United States

    SALT LAKE CITY, UT 841320100

    Phone: (801) 581-6908

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2024-05-24 • Largest payer in this snapshot: NEUROPACE, INC. ($37).

Total Amount

$58

General + Research + Ownership

Payments

2

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-04-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130426000289INeurosurgeryUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84141)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547552473View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find DR. ROBERT JOHN BOLLO (MD)'s NPI?
You can confirm DR. ROBERT JOHN BOLLO (MD) with NPI 1013129584; it appears in the national provider directory.
Is DR. ROBERT JOHN BOLLO (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. ROBERT JOHN BOLLO (MD)?
The page reflects Neurological Surgery Physician for DR. ROBERT JOHN BOLLO (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ROBERT JOHN BOLLO (MD)?
The page summarizes Salt Lake City, Utah for DR. ROBERT JOHN BOLLO (MD); expand the address list for detail.
What if Salt Lake City, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.