KOLLOORI & KOLLOORI, PHYSICIANS, LLC
NPI 1275798167
Internal Medicine in Staten Island, NY

Active since July 21, 2008
1800 CLOVE RD, STATEN ISLAND, NY 10304(718) 273-2929(718) 876-9179 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kolloori & Kolloori, Physicians, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOLLOORI & KOLLOORI, PHYSICIANS, LLC (NPI 1275798167) is a healthcare organization registered as an internal medicine in Staten Island, New York and active in the NPI registry since July 2008. The organization lists Benjamin Joe Kolloori, President, as its authorized official.

NPPES Registry Identity

NPI1275798167
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKOLLOORI & KOLLOORI, PHYSICIANS, LLC
Location Address1800 CLOVE RDStaten Island, NY 10304-1616
Mailing Address1800 Clove RdStaten Island, NY 10304-1616 · (718) 273-2929 · Fax (718) 876-9179
Fax(718) 876-9179
Organization SubpartNo
Authorized OfficialBenjamin Joe KollooriPresident · (718) 273-2929
Enumeration DateJuly 21, 2008
✔ NPI 1275798167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 133887
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1800 CLOVE RD, Staten Island, NY 10304

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kolloori & Kolloori, Physicians, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20060208000167Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kolloori & Kolloori, Physicians, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1235230251
1800 CLOVE ROAD
Staten Island, NY 10304
(718) 273-2929
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1114004272
460 BRIELLE AVE
Staten Island, NY 10314
(718) 317-3267
✔ PECOS✔ Accepts Medicare2.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kolloori & Kolloori, Physicians, LLC's NPI number?

The NPI number for Kolloori & Kolloori, Physicians, LLC is 1275798167. It was assigned to this organization in the NPPES registry on July 21, 2008.

Where is Kolloori & Kolloori, Physicians, LLC located?

Kolloori & Kolloori, Physicians, LLC is located at 1800 Clove Rd, Staten Island, NY 10304. The listed phone number is (718) 273-2929.

What is Kolloori & Kolloori, Physicians, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kolloori & Kolloori, Physicians, LLC enrolled in Medicare?

Yes. Kolloori & Kolloori, Physicians, LLC is registered in the Medicare PECOS enrollment system.

When is Kolloori & Kolloori, Physicians, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kolloori & Kolloori, Physicians, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kolloori & Kolloori, Physicians, LLC, in Internal Medicine and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kolloori & Kolloori, Physicians, LLC was last updated on July 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.