Felipe Collazo-Pagan, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

ME79942 Issued in FL

Practice address

1400 S Orange Ave
Orlando, FL 32806-2134

Phone

(352) 343-1341

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: felipe.collazo-pagan.1@22792.direct.athenahealth.com

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

• Chapters Health Palliative Care, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Temple Terrace, FL
  • NPI 1073683553
  Medicare reassignment NPD
• Cornerstone Health Services LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Tavares, FL
  • NPI 1912327941
  Medicare reassignment NPD
• Cornerstone Health Services LLC

  • Mental Health Counselor
  • Tavares, FL
  • NPI 1174157986
  NPD
• Cornerstone Companion Services, LLC

  • Home Health Agency
  • The Villages, FL
  • NPI 1811440910
  NPD (past)
• Hospice and Palliative Physician Services, LLC

  • General Practice Physician
  • Spring Hill, FL
  • NPI 1609811009
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1104964253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 REYMONT ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328277430",
            "telephone_number": "407-928-5766",
            "fax_number": "407-313-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S ORANGE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062134",
            "telephone_number": "352-343-1341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2445 Lane Park Rd",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327789648",
            "country_code": "US",
            "telephone_number": "352-343-1341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLAZO-PAGAN",
        "first_name": "FELIPE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME79942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Collado, PA-C
• Jaime Collard
• John-Matthew Collard II
• Cristina Collazo Lopez, PT
• Carolina P Collazo-Gonzalez, MD
• Marie Milagros Collazo, ARNP
• College Optical Express FL Inc.
• College Park Chiropractic
• College Park Community Acupuncture & Herbal Medicine
• Jennifer Collet, ARNP

• Geriatric Medicine (Family Medicine) Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.