Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raymond J Petrillo, MD

Individual provider Nephrology Physician · NPI 1568431666

Raymond J Petrillo, MD is a Nephrology in Lihue, Hawaii. Graduated from Jefferson Medical College of Thomas Jefferson University in 1984, 42 years ago. Practices with Northwest Renal Clinic Inc, a 39-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Hawaii, Oregon and Washington.

Years since qualifying
42
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
HI, OR, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4473 Pahee St Ste L
Lihue, HI 96766-2037
Phone: (808) 632-0200
Fax: (808) 632-0201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence MD-20522 (HI)
Nephrology Physician Taxonomy 207RN0300X · Licence MD16666 (OR)
Nephrology Physician Taxonomy 207RN0300X · Licence MD00028978 (WA)

Record details

NPI number1568431666
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 1984 (42 years in practice)
Group practice Northwest Renal Clinic Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services