LISA COLLAZZO MD
NPI 1821083270
Radiology - Diagnostic Radiology in Miami, FL

Active since September 13, 2005PECOS EnrolledAccepts Medicare Assignment
1475 NW 12TH AVE, MIAMI, FL 33136(305) 243-5512 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2026, Oct 9, 2024, Aug 23, 2024 and 1 more (4 updates tracked since 2021).

About Lisa Collazzo Md NPPES

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

LISA COLLAZZO MD (NPI 1821083270) is an individual diagnostic radiology provider in Miami, Florida, licensed in Florida (ME143682) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1821083270
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameLISA COLLAZZOCredential: MD
Location Address1475 NW 12TH AVEMiami, FL 33136-1002
Mailing Address1475 Nw 12th AveMiami, FL 33136-1002 · (305) 243-5512
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1993
Enumeration DateSeptember 13, 2005
Last NPPES UpdateJune 2, 20264 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1821083270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in FL · ME143682✔ Licensed in PA · MD063635L
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1475 NW 12TH AVE, Miami, FL 33136

Secondary Practice Location 1

Location 15501 Old York RdPhiladelphia, PA 19141-3018 · Phone (215) 456-6200 · Fax (215) 456-6227

Other Identifiers 1

Medicaid0175110PA

Accepted 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

Lisa Collazzo 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 ID7911935556
PECOS Enrollment IDI20050803000853, I20240730000499, I20240907000585
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 Reassignments

8

Medicare enrollment records show Lisa Collazzo reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiation Oncology
1475 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
Obstetrics & Gynecology
220 NORTHSIDE DR
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 65 clinicians in this Medicare group
Critical Access
4755 OGELTOWN-STANTON RD
Newark, DE 19718
  • Reassigned Medicare billing, Delaware and Pennsylvania enrollments
  • Medicare enrollment name: Christiana Care Health Services Inc
  • Also billed through NPI 1952335556 (Pennsylvania), NPI 1942553615 (Delaware), NPI 1659547560 (Pennsylvania)
  • 1,531 clinicians in this Medicare group
Diagnostic Radiology
390 VINEYARD WAY
West Grove, PA 19390
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 217 clinicians in this Medicare group
Diagnostic Radiology
1 MEDICAL CENTER BLVD
Chester, PA 19013
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 41 clinicians in this Medicare group
Diagnostic Radiology
629D LOWTHER RD
Lewisberry, PA 17339
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 69 clinicians in this Medicare group
Family Medicine
1700 N BROAD ST
Philadelphia, PA 19121
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
Psychiatry
4200 MONUMENT AVE
Philadelphia, PA 19131
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 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.

Areas of Expertise CMS Part B claims 15

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
621 services621 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
620 services620 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
459 services459 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
456 services456 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
103 services102 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
87 services87 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
Most-billed visit code 99213
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.

Nurse Practitioner (Family)
1475 NW 12TH AVE
MIAMI, FL 33136
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1475 NW 12TH AVE, BOX 016960 M851
MIAMI, FL 33136
Dermatology
1475 NW 12TH AVE, BOX 016960
MIAMI, FL 33136
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1475 NW 12TH AVE
MIAMI, FL 33136
Radiology (Vascular & Interventional Radiology)
1475 NW 12TH AVE
MIAMI, FL 33136
Acupuncturist
1475 NW 12TH AVE
MIAMI, FL 33136
Radiology (Radiation Oncology)
1475 NW 12TH AVE, SUITE 1500
MIAMI, FL 33136
Nurse Practitioner (Gerontology)
1475 NW 12TH AVE
MIAMI, FL 33136

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 Lisa Collazzo's NPI number?

The NPI number for Lisa Collazzo is 1821083270. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Lisa Collazzo located?

Lisa Collazzo practices at 1475 NW 12th Ave, Miami, FL 33136. The listed phone number is (305) 243-5512.

What is Lisa Collazzo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Lisa Collazzo enrolled in Medicare?

Yes. Lisa Collazzo 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 organizations bill Medicare for Lisa Collazzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Collazzo reassigns Medicare benefits to 8 organizations: University Of Miami (Miami, FL), Southern Ob Gyn Associates P C (Valdosta, GA), Christiana Care Health System (Newark, DE), Christiana Care Pennsylvania Inc (West Grove, PA), Southeast Radiology Ltd (Chester, PA) and 3 more organizations, listed in the Medicare section above. Each 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 Lisa Collazzo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Collazzo accept?

Health plans from AmeriHealth Caritas Next list Lisa Collazzo 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.

Is Lisa Collazzo affiliated with any hospitals?

According to CMS data, Lisa Collazzo is affiliated with Upmc Carlisle, Upmc Pinnacle Hospitals and Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Collazzo was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.