NPIMap

Organization Active NPI

Michael P Colletti MD PC

  • Rheumatology Physician
  • Las Vegas, NV
National Provider Identifier
1609876663
Registry record updated Feb 25, 2009
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
4580 S Eastern Ave
#29
Las Vegas, NV 89119-6100
Phone
(702) 734-2242
Fax
(702) 737-7690
NPI assigned
Jul 29, 2005
Last updated
Feb 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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 with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

4580 S Eastern Ave
#29
Las Vegas, NV 89119-6100

Mailing address

4580 S Eastern Ave
#29
Las Vegas, NV 89119-6100
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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1609876663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 S EASTERN AVE",
            "address_2": "#29",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196100",
            "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": "4580 S EASTERN AVE",
            "address_2": "#29",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196100",
            "telephone_number": "702-734-2242",
            "fax_number": "702-737-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL P COLLETTI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2009-02-25",
        "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 Feb 25, 2009; 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.