Individual provider Active NPI

Pablo Diaz-Collado, MD

  • Orthopaedic Surgery of the Spine Physician
  • Boston, MA
National Provider Identifier
1043578990
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
275016 Issued in MA
Practice address
125 Parker Hill Avenue
Converse 4, Suite 1
Boston, MA 02120-2847
Phone
(617) 754-5471
Fax
(617) 754-5740
NPI assigned
Apr 29, 2012
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 275016 MA Primary

Addresses

Primary practice location

125 Parker Hill Avenue
Converse 4, Suite 1
Boston, MA 02120-2847

Mailing address

125 Parker Hill Avenue
Converse 4, Suite 1
Boston, MA 02120-2847
Phone (617) 754-5915

Other identifiers 2

IdentifierTypeStateIssuer
MD1145982AOtherMAMASSACHUSETTS CONTROLLED SUBSTANCES REGISTRATION
275016OtherMAMASSACHUSETTS MEDICAL LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002001646 MA Practitioner - Orthopedic Surgery 4183944713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

125 Parker Hill Ave
Boston, MA 02120-2847
Phone (617) 754-5915

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion185
Laminectomy or laminotomy (partial removal of spine bones)44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
275016MAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PDC Spine PC CurrentSince Jul 1, 2020 Accepting new patients

Locations

125 Parker Hill Ave
Roxbury Xing, MA 02120
Phone (617) 264-1100

125 Parker Hill Ave
#4
Roxbury Xing, MA 02120
Phone (617) 754-5470

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEJBDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEJBDD/Endpoint/DEJBDD
  • Direct secure messaging: pablo.diazcollado@pdcs.eclinicaldirectplus.com
  • Direct secure messaging: pdiazcollado252785@direct.bilh.masshiway.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1043578990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVENUE",
            "address_2": "CONVERSE 4, SUITE 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-754-5915",
            "fax_number": "617-754-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVENUE",
            "address_2": "CONVERSE 4, SUITE 1",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-754-5471",
            "fax_number": "617-754-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-COLLADO",
        "first_name": "PABLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-29",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MA",
            "license": "275016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS CONTROLLED SUBSTANCES REGISTRATION",
            "identifier": "MD1145982A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSACHUSETTS MEDICAL LICENSE NUMBER",
            "identifier": "275016",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.