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SERGIO COLLAZO MD
NPI 1619531027
General Practice in Tampa, FL

Active since May 01, 2019PECOS EnrolledAccepts Medicare Assignment
2931 W HILLSBOROUGH AVE, TAMPA, FL 33614(813) 930-0930(813) 930-0950 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 13, 2019, May 1, 2019 (2 updates tracked since 2019).

About Sergio Collazo Md NPPES

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

SERGIO COLLAZO MD (NPI 1619531027) is an individual general practice provider in Tampa, Florida, licensed in Florida (ACN1172) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hato Rey, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1619531027
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameSERGIO COLLAZOCredential: MD
Location Address2931 W HILLSBOROUGH AVETampa, FL 33614-6054
Mailing Address2931 W Hillsborough AveTampa, FL 33614-6054 · (813) 930-0930 · Fax (813) 930-0950
Phone(813) 930-0930
Fax(813) 930-0950
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateMay 1, 2019
Last NPPES UpdateAugust 13, 20192 updates tracked since enumeration
✔ NPI 1619531027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN1172
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2931 W HILLSBOROUGH AVE, Tampa, FL 33614
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Secondary Practice Location 1

Location 1715 Ave Ponce De LeonHato Rey, PR 00917-5032 · Phone (787) 758-2000 ext. 3216

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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 and accepts Medicare assignment

Sergio Collazo Md 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 ID8426388448
PECOS Enrollment IDI20190918000281
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 Sergio Collazo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jose R Mole MD PA
Same address
Internal Medicine
2931 W HILLSBOROUGH AVE
Tampa, FL 33614
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1881786127 (813) 930-0930

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

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers20 claims50 services$6.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers19 claims24 services$1.18 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers18 claims18 services$201.94 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier16 claims16 services$203.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

LISETT MOLE MD
Internal Medicine
2931 W HILLSBOROUGH AVE
TAMPA, FL 33614
Hillsborough County (813) 930-0930
ANDREA MOLE APRN
Nurse Practitioner (Family)
2931 W HILLSBOROUGH AVE
TAMPA, FL 33614
Hillsborough County (813) 930-0930
JOSE R MOLE MD
Internal Medicine
2931 W HILLSBOROUGH AVE
TAMPA, FL 33614
Hillsborough County (813) 930-0930
JOSE R MOLE MD PA
Internal Medicine
2931 W HILLSBOROUGH AVE
TAMPA, FL 33614
Hillsborough County (813) 930-0930

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 Sergio Collazo's NPI number?

The NPI number for Sergio Collazo is 1619531027. It was assigned to this individual provider in the NPPES registry on May 1, 2019.

Where is Sergio Collazo located?

Sergio Collazo practices at 2931 W Hillsborough Ave, Tampa, FL 33614. The listed phone number is (813) 930-0930.

What is Sergio Collazo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Sergio Collazo enrolled in Medicare?

Yes. Sergio Collazo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sergio Collazo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Collazo reassigns Medicare benefits to Jose R Mole MD PA (Tampa, FL). 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 Sergio Collazo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sergio Collazo accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Sergio 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 Sergio Collazo was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.