Active NPI
Michael Phillip Colletti, M.D.
- Rheumatology Physician
- Las Vegas, NV
National Provider Identifier
1306033931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 5563
- Practice address
- 4580 S Eastern Ave
#29
Las Vegas, NV 89119-6100 - Phone
- (702) 734-2242
- Fax
- (702) 737-7690
- NPI assigned
- Sep 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 5563 | NV | Primary |
Addresses
Primary practice location
4580 S Eastern Ave
#29
Las Vegas, NV 89119-6100
Mailing address
4580 S Eastern Ave
#29
Las Vegas, NV 89119-6100
Phone (702) 734-2242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660002079 | Other | NV | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5563 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael P Colletti MD PC | Rheumatology | Past | Accepting new patients |
| Dignity Health | Past | Accepting new patients | |
| Sunrise Hospital and Medical Center, LLC | Past | Accepting new patients | |
| Desert Springs Hospital | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Rheumatology Physician
- Las Vegas, NV
- NPI 1376543843
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1154317964
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1447393152
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1689611774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1306033931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4580 S EASTERN AVE",
"address_2": "#29",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196100",
"telephone_number": "702-734-2242",
"fax_number": "702-737-7690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4580 S EASTERN AVE",
"address_2": "#29",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196100",
"telephone_number": "702-734-2242",
"fax_number": "702-737-7690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLETTI",
"first_name": "MICHAEL",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-27",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NV",
"license": "5563",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "660002079",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.