MARIELYS COLLAZO ROMAN MD
NPI 1184288557
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC
About Marielys Collazo Roman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIELYS COLLAZO ROMAN MD (NPI 1184288557) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marielys Collazo Roman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marielys Collazo Roman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chapel Hill, NC 27514
- Reassigned Medicare billing, North Carolina enrollment
- 2,797 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
CHAPEL HILL, NC 27514
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 Marielys Collazo Roman's NPI number?
The NPI number for Marielys Collazo Roman is 1184288557. It was assigned to this individual provider in the NPPES registry on April 30, 2019.
Where is Marielys Collazo Roman located?
Marielys Collazo Roman practices at 101 Manning Dr, Chapel Hill, NC 27514. The listed phone number is (984) 974-1000.
What is Marielys Collazo Roman's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Marielys Collazo Roman enrolled in Medicare?
Yes. Marielys Collazo Roman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marielys Collazo Roman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marielys Collazo Roman reassigns Medicare benefits to University Of North Carolina At Chapel Hill (Chapel Hill, NC). 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 Marielys Collazo Roman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marielys Collazo Roman was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Marielys Collazo Roman, MD · NPI 1184288557
Student in an Organized Health Care Education/Training Program provider in Chapel Hill, North Carolina. Individual provider, active in the CMS NPPES registry since April 30, 2019.
## Identity
- **NPI:** 1184288557 (Entity type: Individual)
- **Enumerated:** April 30, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 101 MANNING DR, Chapel Hill, NC 27514-4220
- **Phone:** (984) 974-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of North Carolina At Chapel Hill (NPI 1780669200, Chapel Hill, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1184288557) · Data from the CMS NPPES public registry.