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EDGAR COLLAZO M.D.
NPI 1073596169
Pediatrics in Philadelphia, PA

Active since November 22, 2005PECOS Enrolled
452 W ALLEGHENY AVE, PHILADELPHIA, PA 19133(215) 291-2500(215) 291-2587 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edgar Collazo M.d. NPPES

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

EDGAR COLLAZO M.D. (NPI 1073596169) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD070294L) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073596169
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameEDGAR COLLAZOCredential: M.D.
Location Address452 W ALLEGHENY AVEPhiladelphia, PA 19133-3639
Mailing Address452 W Allegheny AvePhiladelphia, PA 19133-3639 · (215) 291-2500 · Fax (215) 291-2587
Phone(215) 291-2500
Fax(215) 291-2587
Sole ProprietorNo
Enumeration DateNovember 22, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1073596169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD070294L
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
452 W ALLEGHENY AVE, Philadelphia, PA 19133
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Other Identifiers 1

Medicaid0018164480001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of NC and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgar Collazo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Edgar Collazo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stc Pediatrics LLC
0.7 mi
Pediatrics
3645 N FRONT ST
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
NPI 1346884574 (215) 427-5000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLOS L. DORE M.D.
Pediatrics
452 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
MS. MARSHA L. JOHNSON LCSW
Social Worker (Clinical)
452 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500

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 Edgar Collazo's NPI number?

The NPI number for Edgar Collazo is 1073596169. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Edgar Collazo located?

Edgar Collazo practices at 452 W Allegheny Ave, Philadelphia, PA 19133. The listed phone number is (215) 291-2500.

What is Edgar Collazo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Edgar Collazo enrolled in Medicare?

Yes. Edgar Collazo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edgar Collazo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgar Collazo reassigns Medicare benefits to Stc Pediatrics LLC (Philadelphia, PA). The 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 Edgar Collazo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edgar Collazo accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of NC and Oscar Health Maintenance Organization of Florida list Edgar Collazo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edgar Collazo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.