Individual provider Active NPI

Hemchand Kolli, M.D

  • Internal Medicine Physician
  • Hemet, CA
National Provider Identifier
1669552485
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A56066 Issued in CA
Practice address
1278 E Latham Ave
Hemet, CA 92543-4445
Phone
(951) 925-6625
Fax
(951) 658-0775
NPI assigned
Oct 16, 2006
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A56066 CA Primary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X A56066 CA

Addresses

Primary practice location

1278 E Latham Ave
Hemet, CA 92543-4445

Mailing address

1278 E Latham Ave
Hemet, CA 92543-4445
Phone (951) 925-6625

Other practice location 1

36243 Inland Valley Dr Ste 160
Wildomar, CA 92595-9548
Phone (951) 698-8821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20070418000537 CA Practitioner - Internal Medicine 4183729296 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hemchand Kolli MD IncGroup PAC ID 6901901016, 2 clinicians
Kolli Medical CorporationGroup PAC ID 4981827490, 5 clinicians
Golden Oak Medical Group IncGroup PAC ID 3779967849, 2 clinicians

Practice addresses (Care Compare)

1278 E Latham Ave
Hemet, CA 92543-4445
Phone (951) 925-6625

1600 E Florida Ave
Suite 103
Hemet, CA 92544-8637
Phone (951) 929-8121

36243 Inland Valley Dr
Suite 160
Wildomar, CA 92595-9548
Phone (951) 698-8821

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions79
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A56066CAMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kolli Medical Corporation Internal Medicine CurrentSince Mar 1, 2014 Accepting new patients
Hemchand Kolli, MD Inc Internal Medicine CurrentSince Dec 4, 2006 Accepting new patients
Golden Oak Medical Group Inc Internal Medicine CurrentSince May 27, 2022 Accepting new patients
KPC Global Medical Centers, Inc. PastSince Sep 15, 2010 Accepting new patients
Hamchand Kolli MD Inc. Past Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients

Locations

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

1275 E Latham Ave
Hemet, CA 92543
Phone (909) 925-6625

1278 E Latham Ave
Hemet, CA 92543
Phone (951) 925-6625

1278 E Latham Ave
#C
Hemet, CA 92543

1545 W Florida Ave
Hemet, CA 92543
Phone (951) 791-1111

1600 E Florida Ave
Ste 103
Hemet, CA 92544
Phone (951) 925-6625

25485 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 461-8684

1215 N Wabash Ave
Redlands, CA 92374
Phone (909) 794-0200

36243 Inland Valley Dr
Ste 160
Wildomar, CA 92595
Phone (951) 698-8821

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hemchand.kolli.p35@direct.kmsm.nextgenshare.com
  • Direct secure messaging: hemchand.kolli.p57@direct.kmsm.nextgenshare.com
  • Direct secure messaging: hemchand.kolli.p80@direct.kmsm.nextgenshare.com
  • Direct secure messaging: hkolli181988@direct.llu.edu
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hemet Valley Healthcare CenterHemet, CA, CCN 555623 Skilled nursing facility Corporate Officer
Corporate Director
Oct 13, 2010
Sep 15, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1669552485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 E LATHAM AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434445",
            "telephone_number": "951-925-6625",
            "fax_number": "951-658-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 E LATHAM AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434445",
            "telephone_number": "951-925-6625",
            "fax_number": "951-658-0775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36243 Inland Valley Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Wildomar",
            "state": "CA",
            "postal_code": "925959548",
            "country_code": "US",
            "telephone_number": "951-698-8821",
            "fax_number": "888-694-2509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLLI",
        "first_name": "HEMCHAND",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A56066",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "A56066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.