Active NPI
Marc Colaco
- Urology Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2021-00390
- Practice address
- Wake Forest Baptist Hospital
Medical Center Blvd
Winston Salem, NC 27157-0001 - Phone
- (908) 230-6698
- NPI assigned
- Apr 19, 2014
- Last updated
- Aug 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2021-00390 | NC | Primary |
| Pediatric Urology Physician | 2088P0231X | 2021-00390 | NC |
Addresses
Primary practice location
Wake Forest Baptist Hospital
Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
140 Charlois Blvd
Winston Salem, NC 27103-1522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
140 Charlois Blvd
Winston Salem, NC 27103-1522
Phone (336) 716-4131
3903 N Elm St
Greensboro, NC 27455-2594
Phone (336) 713-4944
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Piedmont Stone Center PLLC | Urology | Current | Accepting new patients |
Locations
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
140 Charlois Blvd
Winston Salem, NC 27103
Phone (336) 716-4131
1907 S Hawthorne Rd
Winston Salem, NC 27103
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850
3600 Forbes Ave
Ste 140
Pittsburgh, PA 15213
4401 Penn Ave
Pittsburgh, PA 15224
Phone (412) 692-5030
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
dba UPP Department of Anesthesiology
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1033125455
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
dba Wake Forest Baptist Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
dba Wake Forest Baptist Medical Center
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
dba Winston East Pediatrics
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1467872291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 CHARLOIS BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WAKE FOREST BAPTIST HOSPITAL",
"address_2": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "908-230-6698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLACO",
"first_name": "MARC",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-19",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "2021-00390",
"primary": true
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "NC",
"license": "2021-00390",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.