Peter Richard Kollros, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

MD 60111285 Issued in WA

Practice address

4800 Sand Point Way NE
Seattle Children'S Hosptial M/S B5552
Seattle, WA 98105-5552

Phone

(206) 987-2078

Fax

(206) 987-2649

NPI assigned

Jun 1, 2006

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 WA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Association of Chrmc and University Physicians

  • Pediatrics Physician
  • Seattle, WA
  • NPI 1255449963
  Medicare reassignment NPD
• Association of CHMC and University Physicians

  • Pediatrics Physician
  • Richland, WA
  • NPI 1851680664
  NPD

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1497792261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "M/S B5552 PO BOX 5371",
            "address_2": "SEATTLE CHILDREN'S HOSPTIAL",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455552",
            "telephone_number": "206-987-2078",
            "fax_number": "206-987-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "address_2": "SEATTLE CHILDREN'S HOSPTIAL M/S B5552",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055552",
            "telephone_number": "206-987-2078",
            "fax_number": "206-987-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLROS",
        "first_name": "PETER",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "WA",
            "license": "MD 60111285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD 60111285",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Kollar, LMFT
• Jennifer Kollasch, MA COUNSELING
• Austin W Kollefrath, MD
• Martina Mary Koller, M.D.
• Evyenia Kollia, DMD
• Leah Kolman
• Sarah Elizabeth Kolnik, M.D.
• Orpheus Kolokythas, MD
• Vladimir N Kolomyza, PA-C
• Katya Kolshorn

• Neurology with Special Qualifications in Child Neurology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.