NPIMap

Organization Active NPI

Michael P Colletti MD PC

  • Rheumatology Physician
  • Las Vegas, NV
National Provider Identifier
1376543843
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
5563 Issued in NV
Legal business name
MICHAEL P COLLETTI MD PC
Practice address
3085 E Flamingo Rd
Suite a
Las Vegas, NV 89121-4385
Phone
(702) 734-2242
Fax
(702) 737-7690
NPI assigned
Jul 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Phillip Colletti, MDNPI 1306033931
Title
Owner
Phone
(702) 734-2242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 5563 NV Primary

Addresses

Primary practice location

3085 E Flamingo Rd
Suite a
Las Vegas, NV 89121-4385

Mailing address

3085 E Flamingo Rd
Suite a
Las Vegas, NV 89121-4385
Phone (702) 734-2242

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376543843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 E FLAMINGO RD",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214385",
            "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": "3085 E FLAMINGO RD",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214385",
            "telephone_number": "702-734-2242",
            "fax_number": "702-737-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P COLLETTI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLETTI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-734-2242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NV",
            "license": "5563",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.