Robert Brown Woolley, MD
NPI 1104995109ActiveIndividual· Internal Medicine, Nephrology· Provo, UT
Internal Medicine, Nephrology (MD) in Provo, Utah, trained at University of Oklahoma College of Medicine (class of 2001). Enrolled in Medicare as practitioner - nephrology.
Overview
| NPI | 1104995109 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 6, 2006 |
| Last updated in NPPES | Feb 20, 2025 |
| Certified by provider | Feb 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 269743-1205 | UT |
| Internal Medicine, Nephrology | 207RN0300X | 01057426A | IN |
| Preventive Medicine, Aerospace Medicine | 2083A0100X | 01057426A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nephrology (UT) |
|---|
Education and affiliations
| Medical school | University of Oklahoma College of Medicine |
|---|---|
| Graduation year | 2001 |
| Medicare specialty | Nephrology |
| Telehealth | Offers telehealth |
Medical group
- Ihc Health Services IncMurray, UT · 3,960 clinicians
Hospital affiliations
- American Fork HospitalAmerican Fork, UT
- Castleview HospitalPrice, UT
- Intermountain Health Heber Valley HospitalHeber City, UT
- Intermountain Health Sanpete Valley HospitalMount Pleasant, UT
- Intermountain Health Utah Valley HospitalProvo, UT
Other facilities
- 462504 Srs-Provo, LLCDialysis facility · Provo, UT
- 462543 Srs- Payson, LLCDialysis facility · Payson, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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