Individual provider Active NPI

Robert Kollar

  • Nurse Practitioner
  • Macedonia, OH
National Provider Identifier
1023854833
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0036898 Issued in OH
Practice address
8210 Macedonia Commons Blvd # 3A1096
Macedonia, OH 44056-1860
Phone
(877) 779-2873
Fax
(888) 505-0251
NPI assigned
Jul 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0036898 OH Primary

Addresses

Primary practice location

8210 Macedonia Commons Blvd # 3A1096
Macedonia, OH 44056-1860

Mailing address

1344 Warren Rd
Lakewood, OH 44107-2517
Phone (216) 316-0890

Other practice location 1

7232 Justin Way
Mentor, OH 44060-4881
Phone (440) 578-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021001576 OH Practitioner - Nurse Practitioner 9234661877 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Health Inc CurrentSince Jul 20, 2024 Accepting new patients
Signature Health, Inc. Current Accepting new patients
Signature Health, Inc CurrentSince Jul 20, 2024 Accepting new patients

Locations

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

38882 Mentor Ave
Willoughby, OH 44094

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1023854833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 WARREN RD",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441072517",
            "telephone_number": "216-316-0890",
            "fax_number": "888-505-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 MACEDONIA COMMONS BLVD # 3A1096",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561860",
            "telephone_number": "877-779-2873",
            "fax_number": "888-505-0251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7232 Justin Way",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440604881",
            "country_code": "US",
            "telephone_number": "440-578-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLLAR",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0036898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macedonia, OH

Sources for this page

Verify at the official NPI Registry.