ALEXANDER ANDRE COLLAZO
NPI 1568090371
Family Medicine in Palm Harbor, FL

Q: What is Alexander Collazo's NPI number?

The NPI number for Alexander Collazo is 1568090371. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Q: What is Alexander Collazo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Alexander Collazo was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 28, 2020PECOS EnrolledAccepts Medicare Assignment

36440 US HIGHWAY 19 N, PALM HARBOR, FL 34684(727) 786-0696(727) 669-9742 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2026, May 19, 2023, Mar 28, 2020 (3 updates tracked since 2020).

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About Alexander Andre Collazo NPPES

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

ALEXANDER ANDRE COLLAZO (NPI 1568090371) is an individual family medicine provider in Palm Harbor, Florida, licensed in Florida (OS19753) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains a secondary practice location in Lutz.

NPPES Registry Identity

NPI1568090371

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameALEXANDER ANDRE COLLAZO

Location Address36440 US HIGHWAY 19 NPalm Harbor, FL 34684-1330

Mailing Address3251 N Mcmullen Booth Rd Ste 303Clearwater, FL 33761-2022 · (727) 725-6110

Phone(727) 786-0696

Fax(727) 669-9742

Sole ProprietorYes

Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2020

Enumeration DateMarch 28, 2020

Last NPPES UpdateMarch 25, 20263 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1568090371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS19753

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

36440 US HIGHWAY 19 N, Palm Harbor, FL 34684

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Secondary Practice Location 1

Location 11563 Land O Lakes BlvdLutz, FL 33549-2930 · Phone (813) 949-4224 · Fax (813) 949-2809

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexander Andre Collazo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335506757

PECOS Enrollment IDI20230531000026

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 Alexander Collazo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Conviva Medical Center Management LLC

220 mi

Internal Medicine

6101 BLUE LAGOON DR STE 200
Miami, FL 33126

Reassigned Medicare billing, Florida enrollment
535 clinicians in this Medicare group

NPI 1649324278 (305) 500-2000

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

48 services34 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

14 services14 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

14 services14 patients

Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446

This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Hospital

Acute Care Hospitals · Tampa, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100075

Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34684 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 7

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

CRYSTAL GARCIA NP

Nurse Practitioner (Gerontology)