Individual provider Active NPI

Robert O Rollo, MD

  • Emergency Medicine Physician
  • Austin, TX
National Provider Identifier
1194766311
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
340027 Issued in LA
Practice address
3563 Far West Blvd Ste 110
Austin, TX 78731-3029
Phone
(512) 846-6925
NPI assigned
Jun 9, 2006
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X K2273 TX
Emergency Medicine Physician 207P00000X 340027 LA Primary
Family Medicine Physician 207Q00000X K2273 TX

Addresses

Primary practice location

3563 Far West Blvd Ste 110
Austin, TX 78731-3029

Mailing address

209 Barefoot Park LN
Georgetown, TX 78628-2148
Phone (979) 219-1263

Other identifiers 5

IdentifierTypeStateIssuer
171711802MedicaidTX
137215313MedicaidTX
8S2460OtherTXBCBS
137215314MedicaidTX
8P6794OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WY, NM3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050202000163 TX Practitioner - Family PracticePractitioner - Emergency Medicine 3072410182 Reassigns benefits to 12 organizations
I20231115001794 WY Practitioner - Emergency Medicine 3072410182 Reassigns benefits to 3 organizations
I20240328002714 NM Practitioner - Emergency Medicine 3072410182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Baylor College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
Third Coast Emergency Physicians Southwest PAGroup PAC ID 6800794447, 38 clinicians

Practice addresses (Care Compare)

211 Sudderth Dr
Ruidoso, NM 88345-6002
Phone (575) 630-4233

4103 N Loop 1604
San Antonio, TX 78249-1395
Phone (210) 572-8415

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K2273TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Mar 25, 2013 Accepting new patients
Presbyterian Healthcare Services Family Medicine Current Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Mar 27, 2024 Accepting new patients
Texas ER Group PLLC Emergency Medicine CurrentSince Jan 25, 2024 Accepting new patients
Jefferson County Hospital Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Washakie Medical Center Current Accepting new patients
Platte County Hospital Current Accepting new patients
Ess of South Texas LLC Emergency Medicine CurrentSince May 24, 2023 Accepting new patients
Winnie Community Hospital LLC Current Accepting new patients
Austin ER Associates PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Jefferson County Hospital CurrentSince Jul 25, 2025 Accepting new patients
Winnie Community Hospital, L.L.C. CurrentSince Mar 7, 2019 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Aug 16, 2023 Accepting new patients
Nor-Lea Hospital District CurrentSince Mar 21, 2024 Accepting new patients
Brewster Emergency Medicine Associates PA Emergency Medicine CurrentSince Feb 27, 2020 Accepting new patients
Winnie Community Hospital, L.L.C. Emergency Medicine CurrentSince Mar 7, 2019 Accepting new patients
Presbyterian Healthcare Services Emergency Medicine CurrentSince Mar 27, 2024 Accepting new patients
Ess of Fairfield LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Community Hospital Family Medicine Current Accepting new patients
Texas Emergency Group LLC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Altus Exceptional Physician Group PLLC Emergency Medicine CurrentSince Jul 1, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Mar 25, 2013 Accepting new patients
Seminole Hospital District of Gaines County Texas Emergency Medicine Current Accepting new patients
Jefferson County Hospital CurrentSince Jan 1, 2024 Accepting new patients
Nor-Lea Hospital District CurrentSince Mar 21, 2024 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Houston Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients

Locations (25 of 33)

2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204

515 E Main St
Hobbs, NM 88240
Phone (575) 397-0560

1600 N Main Ave
Lovington, NM 88260
Phone (575) 396-6611

211 Sudderth Dr
Ruidoso, NM 88345
Phone (505) 257-7381

2600 N State Highway 118
Alpine, TX 79830
Phone (432) 837-0430

13435 N US Highway 183
Ste 311
Austin, TX 78750
Phone (512) 614-1200

2020 E Riverside Dr
Austin, TX 78741
Phone (737) 717-4100

3563 Far West Blvd
Ste 110
Austin, TX 78731
Phone (512) 481-2321

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

100 Medical Dr
Borger, TX 79007
Phone (806) 273-1100

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1535 West Loop S
Ste 300
Houston, TX 77027
Phone (713) 961-0423

1535 West Loop S
Ste 450
Houston, TX 77027
Phone (832) 219-3833

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

220 Blanco St
Ste 2
Lumberton, TX 77657
Phone (409) 755-2273

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

210 S Judson St
Navasota, TX 77868
Phone (936) 825-6585

Interoperability endpoints

  • Direct secure messaging: fmcrrollo@yourcarecommunity.org
  • Direct secure messaging: rrollo249001@direct.phs.org

Organizations & group practices 28

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

View all 28

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1194766311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BAREFOOT PARK LN",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282148",
            "telephone_number": "979-219-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 FAR WEST BLVD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313029",
            "telephone_number": "512-846-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLO",
        "first_name": "ROBERT",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K2273",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "340027",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171711802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137215313",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8S2460",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137215314",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P6794",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.