DR. ROBERT A JR. DECOLLI (D.O) – Internal Medicine Physician, NPI 1790778991

DR. ROBERT A JR. DECOLLI (D.O) is a healthcare provider. based in Richmond, Virginia. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O. They hold a License No. 4200 (TN). The NPI Number for DR. ROBERT A JR. DECOLLI (D.O) is 1790778991

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT A JR. DECOLLI (D.O)
NPI
1790778991
Phone
(804) 228-1143
Address
3806 MECHANICSVILLE TPKE
Enumeration Date
24 August 2005
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9014017150
Graduation Year
1992 (34 years ago)
PAC ID
4183760465
Group Practice PAC ID
7810282191
Professional Enrollment ID
I20210205000227
Address ID
TN381276432ME3360XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,526 INTERNAL MEDICINE in TN

Provider Addresses for DR. ROBERT A JR. DECOLLI (D.O)

  • Mechanicsville Turnpike, Richmond, Richmond City, Virginia, 23223, United States

    RICHMOND, VA 232231114

    Phone: (804) 228-1143

    Fax: (804) 228-7382

    Type: Mailing

  • 3360 N WATKINS ST

    MEMPHIS, TN 381276405

    Phone: (901) 401-7150

    Fax: (901) 347-1285

    Type: Location

  • PO BOX 746725

    ATLANTA, GA 303746725

    Phone: (312) 733-9730

    Fax: (773) 866-8014

    Type: Mailing

  • 2252 LAMAR AVE

    MEMPHIS, TN 381146608

    Phone: (901) 671-1800

    Fax: (901) 671-0056

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $338.

Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.

Last reported payment date: 2024-08-08 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($163).

Total Amount

$338

General + Research + Ownership

Payments

9

Total payment records

General Amount

$338

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-08

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: 2021-02-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20100519000783IInternal MedicinePATBD
I20201027000847IInternal MedicineVATBD
I20210205000227IInternal MedicineTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
82962Blood glucose (sugar) test performed by hand-held instrument7246$0
83036Hemoglobin a1c level6952$0
G0396Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes6451$0
81002Urinalysis, manual test2419$0
77067Screening mammography1717$0
View full utilization report →

Insurance plans in this area (ZIP 23223)

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Provider's Procedures

DR. ROBERT A JR. DECOLLI (D.O) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEPA85610Blood test, clotting time35420
INTERNAL MEDICINEPA90670Pneumococcal vaccine for injection into muscle1818
INTERNAL MEDICINEPA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report981682
INTERNAL MEDICINEPA93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report4828

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: 7810282191View full group profile

Reviews

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Frequently asked questions

How do I look up DR. ROBERT A JR. DECOLLI (D.O) by NPI?
Use NPI 1790778991 when you need to reference DR. ROBERT A JR. DECOLLI (D.O) in forms, claims, or directories.
Does this profile mean DR. ROBERT A JR. DECOLLI (D.O) is currently active?
Yes — DR. ROBERT A JR. DECOLLI (D.O) appears active in the national provider directory.
What kind of provider is DR. ROBERT A JR. DECOLLI (D.O)?
The page reflects Internal Medicine Physician for DR. ROBERT A JR. DECOLLI (D.O). Clinical services aligned with this taxonomy classification.
Does DR. ROBERT A JR. DECOLLI (D.O) practice in Virginia?
You will see Richmond, Virginia on file for DR. ROBERT A JR. DECOLLI (D.O) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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