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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

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: July 26, 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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

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