Michael John Colli, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD073663L Issued in PA

Practice address

830 5TH Ave
Suite 103
Chambersburg, PA 17201-4219

Phone

(717) 263-0550

Fax

(717) 263-8898

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mcolli241960@wellspan.direct-ci.com

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.

• Keystone Rural Health Center

  • Federally Qualified Health Center (FQHC)
  • Chambersburg, PA
  • NPI 1538166905
  Medicare reassignment NPD
• Wellspan Medical Group

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment NPD
• Keystone Rural Health Center

  • Federally Qualified Health Center (FQHC)
  • Waynesboro, PA
  • NPI 1033773155
  NPD
• Keystone Rural Health Center

  • Community/Retail Pharmacy
  • Chambersburg, PA
  • NPI 1053105288
  NPD
• Wellspan Medical Group

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  • Interventional Cardiology Physician
  • York, PA
  • NPI 1972906667
  NPD
• Summit Physician Services

  • Family Medicine Physician
  • Chambersburg, PA
  • NPI 1306840814
  NPD (past)
• The Chambersburg Hospital

  • General Acute Care Hospital
  • Chambersburg, PA
  • NPI 1902804552
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1386641116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CHAMBERS HILL DR",
            "address_2": "STE 200",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172017304",
            "telephone_number": "717-709-7922",
            "fax_number": "717-263-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 5TH AVE",
            "address_2": "SUITE 103",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014219",
            "telephone_number": "717-263-0550",
            "fax_number": "717-263-8898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011720",
            "country_code": "US",
            "telephone_number": "717-267-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLI",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD073663L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001853183",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Cohan
• Ashley Marie Coldsmith, CRNP-FNP
• Dawn M Coldsmith, PTA
• Collective Renewal Counseling LLC
• Amy Colli, CRNP
• Richard Collier
• Lori Ann Collins, RPH, PHARM.D
• David Colon, COTA
• Community Home Health Care, Inc
• Community Therapy and Sports Medicine Inc

• Pediatrics Physician in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.