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DR. LUIS RAUL COLLAZO M.D.
NPI 1598754715
Pediatrics in Gaylord, MI

Active since October 20, 2005PECOS Enrolled
829 N CENTER AVE, SUITE 130, GAYLORD, MI 49735(989) 731-7930(989) 731-7948 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Luis Raul Collazo M.d. NPPES

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

DR. LUIS RAUL COLLAZO M.D. (NPI 1598754715) is an individual pediatrics provider in Gaylord, Michigan, licensed in Michigan (4301071438) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598754715
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. LUIS RAUL COLLAZOCredential: M.D.
Location Address829 N CENTER AVE, SUITE 130Gaylord, MI 49735-1595
Mailing Address829 N Center Ave, Suite 298Gaylord, MI 49735-1595 · (989) 731-7708 · Fax (989) 731-7929
Phone(989) 731-7930
Fax(989) 731-7948
Sole ProprietorNo
Enumeration DateOctober 20, 2005
Last NPPES UpdateNovember 11, 2020
NPPES CertifiedNovember 11, 2020
✔ NPI 1598754715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301071438
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.
829 N CENTER AVE, Gaylord, MI 49735
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Other Names 1

Other Name (5)Dr. Luis Raul Collazo-rivera M.d.

Other Identifiers 2

Other3506910402MI · Bcbsm
Medicaid4943810MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luis Raul 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 49735 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

DR. JOHN DAVID MOFFAT M.D.
Surgery
829 N CENTER AVE, SUITE 120
GAYLORD, MI 49735
Otsego County (989) 731-7987
STEVEN JOHN WISNIEWSKI M.D.
Internal Medicine
829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735
Otsego County (989) 731-7870
DR. CHANGXIN LI M.D.
Internal Medicine
829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735
Otsego County (989) 731-7870
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
829 N CENTER AVE
GAYLORD, MI 49735
Otsego County (989) 731-7708
KATHLEEN MARIE PAWLANTA F.N.P.
Nurse Practitioner (Family)
829 N CENTER AVE, SUITE 210
GAYLORD, MI 49735
Otsego County (989) 731-7860
JOHN MATTHEW LAWRENCE
Physician Assistant
829 N CENTER AVE, SUITE 210
GAYLORD, MI 49735
Otsego County (989) 731-7860
GAYLORD OBSTETRICS & GYNECOLOGY. P.C.
Obstetrics & Gynecology
829 N CENTER AVE, SUITE 200
GAYLORD, MI 49735
Otsego County (989) 731-2105
MATTHEW A MAZUR D.O.
Internal Medicine
829 N CENTER AVE, SUITE 140
GAYLORD, MI 49735
Otsego County (989) 731-7870

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 Luis Collazo's NPI number?

The NPI number for Luis Collazo is 1598754715. It was assigned to this individual provider in the NPPES registry on October 20, 2005. The provider is also known as Dr. Luis Raul Collazo-Rivera M.D..

Where is Luis Collazo located?

Luis Collazo practices at 829 N Center Ave Suite 130, Gaylord, MI 49735. The listed phone number is (989) 731-7930.

What is Luis Collazo's specialty?

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

Is Luis Collazo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Luis Collazo was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.