Raymond J Petrillo, MD in Lihue, HI

Raymond J Petrillo, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Lihue, Hawaii. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1984 and has 41 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Northwest Renal Clinic Inc and his current practice location is 4473 Pahee St Ste L, Lihue, Hawaii. You can reach out to his office (for appointments etc.) via phone at (808) 632-0200.

Raymond J Petrillo is licensed to practice in Hawaii (license number MD-20522) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568431666.

Contact Information

	Raymond J Petrillo, MD
	4473 Pahee St Ste L, Lihue, HI 96766-2037
	(808) 632-0200
	(808) 632-0201

Map and Direction

Physician's Profile

Full Name	Raymond J Petrillo
Gender	Male
Speciality	Nephrology
Experience	41 Years
Location	4473 Pahee St Ste L, Lihue, Hawaii
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Raymond J Petrillo attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1984

NPI Data:

NPI Number: 1568431666
Provider Enumeration Date: 03/14/2006
Last Update Date: 09/25/2025

Medicare PECOS Information:

PECOS PAC ID: 7618981879
Enrollment ID: I20191212003179

Medical Identifiers

Medical identifiers for Raymond J Petrillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568431666	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	MD16666 (Oregon)	Secondary
207RN0300X	Internal Medicine - Nephrology	MD00028978 (Washington)	Secondary
207RN0300X	Internal Medicine - Nephrology	MD-20522 (Hawaii)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kauai Dialysis Facility	Lihue, HI	Dialysis facility
West Kauai Dialysis	Waimea, HI	Dialysis facility
Wilcox Memorial Hospital	Lihue, HI	Hospital
Straub Clinic And Hospital	Honolulu, HI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northwest Renal Clinic Inc	8628065836	38

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Raymond J Petrillo allows following entities to bill medicare on his behalf.

Entity Name	Northwest Renal Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528036662 PECOS PAC ID: 8628065836 Enrollment ID: O20191211003109

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raymond J Petrillo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Raymond J Petrillo, MD Po Box 3068, Portland, OR 97208-3068 Ph: (503) 229-7976	Raymond J Petrillo, MD 4473 Pahee St Ste L, Lihue, HI 96766-2037 Ph: (808) 632-0200

Reviews and Comments

Internal Medicine Doctors in Lihue, HI

Dr. Luke Carlos Fornari, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3-3420 Kuhio Hwy, Lihue, HI 96766 Phone: 808-245-1100
Christine Amanda Baptiste Freeman, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3-3420 Kuhio Hwy Ste B, Lihue, HI 96766 Phone: 808-245-1100
Dr. Amy Beth Corliss, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766 Phone: 808-245-1100
R. Craig Netzer, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4473 Pahee St, Ste O, Lihue, HI 96766 Phone: 808-246-2709 Fax: 808-246-2700
Dr. Arnulfo B. Diaz, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 3-3420 Kuhio Hwy, Suite B, Lihue, HI 96766 Phone: 808-245-1546 Fax: 808-246-9275
Liliane L. Kheng, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3-3295 Kuhio Hwy, Lihue, HI 96766 Phone: 808-245-8874 Fax: 808-246-9080
Michael Steven Braun, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4473 Pahee St, Suite#o, Lihue, HI 96766 Phone: 808-246-2002 Fax: 808-246-2700

Raymond J Petrillo, MD - Medicare Nephrology in Lihue, HI