NOAH KAI COLLACO
NPI 1619595204
General Practice in Houston, TX

Active since July 09, 2020PECOS Enrolled
3914 GRAMERCY ST, HOUSTON, TX 77025(713) 888-0881 Get Directions Write a Review

NPPES record last updated: July 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 12, 2025, Jul 9, 2020 (2 updates tracked since 2020).

About Noah Kai Collaco NPPES

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

NOAH KAI COLLACO (NPI 1619595204) is an individual general practice provider in Houston, Texas, licensed in Texas (V9871) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619595204
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameNOAH KAI COLLACO
Location Address3914 GRAMERCY STHouston, TX 77025-1107
Mailing Address3914 Gramercy St Ste AHouston, TX 77025-1107
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 9, 2020
Last NPPES UpdateJuly 12, 20252 updates tracked since enumeration
NPPES CertifiedJuly 12, 2025
✔ NPI 1619595204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · V9871
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
3914 GRAMERCY ST, Houston, TX 77025

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noah Kai Collaco is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668966896
PECOS Enrollment IDI20251215001765
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 Noah Collaco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 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 2

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

Nurse Practitioner (Family)
3914 GRAMERCY ST
HOUSTON, TX 77025
Allergy & Immunology
3914 GRAMERCY ST, SUITE A
HOUSTON, TX 77025

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 Noah Collaco's NPI number?

The NPI number for Noah Collaco is 1619595204. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Noah Collaco located?

Noah Collaco practices at 3914 Gramercy St, Houston, TX 77025. The listed phone number is (713) 888-0881.

What is Noah Collaco's specialty?

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

Is Noah Collaco enrolled in Medicare?

Yes. Noah Collaco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Noah Collaco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noah Collaco reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Noah Collaco'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 Noah Collaco was last updated on July 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.