Peter J. Koltai, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G87225 Issued in CA

Practice address

801 Welch Rd
Palo Alto, CA 94304-1611

Phone

(650) 725-6500

NPI assigned

Jan 9, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Stanford Health Care

  • General Acute Care Hospital
  • Stanford, CA
  • NPI 1437292927
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1417006362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 TOLMAN DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943051026",
            "telephone_number": "650-813-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041611",
            "telephone_number": "650-725-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTAI",
        "first_name": "PETER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G87225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G872250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Lysbet Kohn, MD
• Hannah Miriam Kohrman, MD
• Lesley Anne Koilparampil, NP
• Kayla May Kolhede, M.A., CCC-SLP
• Jennifer Youm Kolp
• Margaret Komo, MD
• Katherine Komondor, CRNP
• Venkata N. Konanki, MD
• Robert Li-Chung Kong, M.D.
• Kono DDS and Vanzina DDS, a Professional Corporation

• Otolaryngology Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.