DR. ROBERT G BOLTE MD
NPI 1063454064
Pediatrics - Pediatric Emergency Medicine in Salt Lake City, UT
NPI Status: Active since June 12, 2006
Contact Information
100 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 588-2233
Fax: (801) 588-2236
- Individual
- Male
- Pediatrics
- Pediatric Emergency Medicine
- PECOS Enrolled
About ROBERT BOLTE
This page provides the complete NPI Profile along with additional information for Robert Bolte, a pediatrician established in Salt Lake City, Utah with a medical specialization in Pediatrics, focusing in pediatric emergency medicine . The healthcare provider is registered in the NPI registry with number 1063454064 assigned on June 2006. The practitioner's primary taxonomy code is 2080P0204X with license number 165008-1205 (UT). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1063454064
- Provider Name
- DR. ROBERT G BOLTE MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 100 N MEDICAL DR SALT LAKE CITY, UT 84113
- Location Phone
- (801) 588-2233
- Location Fax
- (801) 588-2236
- Mailing Address
- 295 CHIPETA WAY PEDS ADMIN SALT LAKE CITY, UT 84108
- Mailing Phone
- (801) 587-7400
- Mailing Fax
- (801) 588-2236
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-12-2006
- Last Update Date
- 05-30-2014
- Code Navigator
A pediatrician like Robert Bolte is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Emergency Medicine
- Taxonomy Code
- 2080P0204X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 165008-1205
- License State
- UT
- Taxonomy Description
- A pediatrician who has special qualifications to manage emergencies in infants and children.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 165008-1205 (UT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 005796618 | MEDICARE ID-TYPE UNSPECIFIED (04) | UT | |
| 0142664 | MEDICAID (05) | MT | |
| 121338500 | MEDICAID (05) | WY | |
| 003594800 | MEDICAID (05) | ID | |
| F14628 | MEDICARE UPIN (02) | UT | |
| 06395 | MEDICAID (05) | UT | |
| 002085363 | MEDICAID (05) | NV | |
| 1172456 | MEDICAID (05) | LA |
Medicare Participation & PECOS Enrollment Status
Robert Bolte is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. ROBERT G BOLTE MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 4 | 5 | 4 | 0 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 8 | 5 | 8 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 8 + 5 + 8 + 0 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1063454064 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1609820232 | PEDIATRIC GASTROENTEROLOGY DEPARTMENT OF UNIVERSITY OF UTAH Organization | Pediatrics (Pediatric Gastroenterology) | 100 N MEDICAL DR SALT LAKE CITY, UT 84113 (801) 588-3370 |
| 1699729384 | DR. WILLIAM M MCDONNELL Individual | Pediatrics | 100 N MEDICAL DR SALT LAKE CITY, UT 84113 (801) 588-2233 |
| 1972557593 | PEDIATRIC RAPID TREATMENT UNIT DEPARTMENT OF UNIVERSITY OF UTAH Organization | Pediatrics (Pediatric Emergency Medicine) | 100 N MEDICAL DR SALT LAKE CITY, UT 84113 (801) 662-1000 |
| 1679528715 | DEPARTMENT OF PEDIATRICS UNIVERSITY OF UTAH Organization | Pediatrics | 100 N MEDICAL DR SALT LAKE CITY, UT 84113 (801) 588-2000 |
| 1295780625 | PEDIATRIC HEMATOLOGY ONCOLOGY-DEPARTMENT OF UNIVERSITY OF UTAH Organization | Pediatrics (Pediatric Hematology-Oncology) | 100 N MEDICAL DR SALT LAKE CITY, UT 84113 (801) 588-2680 |
| 1275570665 | PEDIATRIC EMERGENCY MEDICINE DEPARTMENT OF UNIVERSITY OF UTAH Organization | Pediatrics (Pediatric Emergency Medicine) | 100 N MEDICAL DR SALT LAKE CITY, UT 84113 (801) 588-2233 |
| 1023051166 | UNIVERSITY OF UTAH GENERAL PEDIATRICS Organization | Pediatrics | 100 N MEDICAL DR SALT LAKE CITY, UT 84113 (801) 588-2233 |
| 1821015710 | PAULA J RASMUSSEN AUD Individual | Audiologist | 100 N MEDICAL DR SALT LAKE CITY, UT 84113 (801) 588-3950 |
| 1326069022 | JULIEN T SMITH PHD Individual | Clinical Neuropsychologist | 100 N MEDICAL DR SALT LAKE CITY, UT 84113 (801) 588-3938 |
| 1215944509 | LISA ENA BARNES PT Individual | Physical Therapist | 100 N MEDICAL DR SLC, UT 84113 (801) 588-2000 |
| 1568479731 | AMBER S PERRY PT Individual | Physical Therapist | 100 N MEDICAL DR SLC, UT 84113 (801) 588-2000 |
| 1861409047 | JASON RICHARD NORBY AUD Individual | Audiologist | 100 N MEDICAL DR SLC, UT 84113 (801) 588-2000 |
| 1649287731 | SHELLEY NAKASONE MS, CCC-SLP Individual | Speech-Language Pathologist | 100 N MEDICAL DR SLC, UT 84113 (801) 588-2000 |
| 1124035373 | NANCY A MURRAY AUD / SLP Individual | Audiologist | 100 N MEDICAL DR SLC, UT 84113 (801) 588-2000 |
| 1871500975 | SUSAN JILL BECK TIBBITTS SLP Individual | Speech-Language Pathologist | 100 N MEDICAL DR SLC, UT 84113 (801) 588-2000 |
| 1417965799 | PEDIATRIC ANESTHESIOLOGISTS INC Organization | Anesthesiology | 100 N MEDICAL DR SALT LAKE CITY, UT 84113 (888) 249-4598 |
| 1245248368 | MARSHA HARDMAN-LUNDELL LCSW Individual | Social Worker (Clinical) | 100 N MEDICAL DR SLC, UT 84113 (801) 588-2000 |
| 1114935236 | LORI M FOX SLP Individual | Speech-Language Pathologist | 100 N MEDICAL DR SLC, UT 84113 (801) 588-2000 |
| 1417965518 | BRIAN L THORN PHD Individual | Psychologist | 100 N MEDICAL DR SLC, UT 84113 (801) 588-2000 |
| 1174533046 | MR. KEVIN MERLIN ORGILL RPH Individual | Pharmacist | 100 N MEDICAL DR SALT LAKE CITY, UT 84113 (801) 588-3256 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063454064, enumerated in the NPI registry as an "individual" on June 12, 2006
The provider is located at 100 N Medical Dr Salt Lake City, Ut 84113 and the phone number is (801) 588-2233
The provider's speciality is Pediatrics with taxonomy code 2080P0204X with a focus in Pediatric Emergency Medicine
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on June 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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