Individual provider Active NPI

Maria Silvina Odstrcil Bobillo, MD

  • Hematology & Oncology Physician
  • Salt Lake City, UT
National Provider Identifier
1407697832
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
14273360-1205 Issued in UT
Practice address
2000 Circle of Hope Dr RM Ll376
Salt Lake City, UT 84112-5550
Phone
(801) 585-0255
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hematology & Oncology Physician 207RH0003X 14273360-1205 UT Primary

Addresses

Primary practice location

2000 Circle of Hope Dr RM Ll376
Salt Lake City, UT 84112-5550

Mailing address

2000 Circle of Hope Dr RM Ll376
Salt Lake City, UT 84112-5550
Phone (801) 585-0255

Other practice location 1

675 S Arapeen Dr Ste 300
Salt Lake City, UT 84108-1466
Phone (385) 461-3886

Other practice location 2

227 E 10th Ave
Salt Lake City, UT 84103-2529
Phone (385) 461-3886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260317000116 UT Order and Referring Only - HematologyPractitioner - Hematology 8325521420

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14273360-1205UTMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1407697832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CIRCLE OF HOPE DR RM LL376",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125550",
            "telephone_number": "801-585-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CIRCLE OF HOPE DR RM LL376",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841125550",
            "telephone_number": "801-585-0255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 S Arapeen Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841081466",
            "country_code": "US",
            "telephone_number": "385-461-3886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 E 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841032529",
            "country_code": "US",
            "telephone_number": "385-461-3886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODSTRCIL BOBILLO",
        "first_name": "MARIA",
        "middle_name": "SILVINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "UT",
            "license": "14273360-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.