Individual provider Active NPI

Peter G Collori, MD

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1336242791
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD1356 Issued in HI
Practice address
6600 Kalanianaole Hwy
#225
Honolulu, HI 96825-1281
Phone
(808) 394-2800
Fax
(808) 394-2826
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD1356 HI Primary

Addresses

Primary practice location

6600 Kalanianaole Hwy
#225
Honolulu, HI 96825-1281

Mailing address

6600 Kalanianaole Hwy
#225
Honolulu, HI 96825-1281
Phone (808) 394-2800

Other identifiers 1

IdentifierTypeStateIssuer
MD1356OtherHIQHCP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 1, 2017 through Aug 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD1356HIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical & Counseling Psychology Past Accepting new patients
Peter G Collori MD Inc Psychiatry PastSince Feb 19, 2009 Accepting new patients

Organizations & group practices 2

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1336242791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 KALANIANAOLE HWY",
            "address_2": "#225",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251281",
            "telephone_number": "808-394-2800",
            "fax_number": "808-394-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 KALANIANAOLE HWY",
            "address_2": "#225",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251281",
            "telephone_number": "808-394-2800",
            "fax_number": "808-394-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLORI",
        "first_name": "PETER",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD1356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QHCP",
            "identifier": "MD1356",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.