Individual provider Active NPI

Lisa Collazzo, MD

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1821083270
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME143682 Issued in FL
Practice address
1475 NW 12TH Ave
Miami, FL 33136-1002
Phone
(305) 243-5512
NPI assigned
Sep 13, 2005
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME143682 FL Primary
Diagnostic Radiology Physician 2085R0202X MD063635L PA

Addresses

Primary practice location

1475 NW 12TH Ave
Miami, FL 33136-1002

Mailing address

1475 NW 12TH Ave
Miami, FL 33136-1002
Phone (305) 243-5512

Other practice location 1

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-6200

Other identifiers 1

IdentifierTypeStateIssuer
0175110MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA, FL, DE4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20050803000853 PA Practitioner - Diagnostic Radiology 7911935556 Reassigns benefits to 6 organizations
I20200420002831 GA Practitioner - Diagnostic Radiology 7911935556 Reassigns benefits to 1 organization
I20240730000499 FL Practitioner - Diagnostic Radiology 7911935556 Reassigns benefits to 1 organization
I20240907000585 DE Practitioner - Diagnostic Radiology 7911935556 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians
Einstein Practice Plan IncGroup PAC ID 2769395896, 774 clinicians
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians

Practice addresses (Care Compare)

161 Wilmington W Chester Pike
CCHS Concord Radiology
Chadds Ford, PA 19317-9041
Phone (610) 361-1150

3 Pennsford LN
Media, PA 19063-2051
Phone (302) 733-1806

3848 Fau Blvd
Boca Raton, FL 33431-6437
Phone (305) 243-6660

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1800

5501 Old York Rd
Phila, PA 19141-3018
Phone (215) 456-9850

629 D Lowther Rd
Lewisberry, PA 17339-9527
Phone (717) 932-5200

900 W Baltimore Pike
Suite 102
West Grove, PA 19390-9313
Phone (302) 838-3088

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 23, 2024 Accepting new patients
University of Miami Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
University of Miami CurrentSince Jul 1, 2024 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Oct 1, 2021 Accepting new patients
Christiana Care Pennsylvania Inc Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Quantum Imaging & Therapeutic Associates Inc Diagnostic Radiology CurrentSince Jan 26, 2026 Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Oct 1, 2021 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Southeast Radiology LTD Diagnostic Radiology CurrentSince Sep 15, 1997 Accepting new patients
Southern OB GYN Associates P C CurrentSince Mar 14, 2020 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Oct 1, 2024 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 23, 2024 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Aug 23, 2024 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Aug 23, 2024 Accepting new patients
MRI Professionals Inc. Diagnostic Radiology Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

3848 Fau Blvd
Boca Raton, FL 33431
Phone (561) 447-8990

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

220 Northside Dr
Valdosta, GA 31602
Phone (229) 241-2800

161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

51 Business Campus Way
Ste 100
Duncannon, PA 17020
Phone (717) 834-3280

300 Evergreen Dr
Ste 210
Glen Mills, PA 19342
Phone (610) 566-9400

629D Lowther Rd
Lewisberry, PA 17339
Phone (717) 938-2765

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lcollazzo133327@direct.med.miami.edu

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 12

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1821083270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361002",
            "telephone_number": "305-243-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361002",
            "telephone_number": "305-243-5512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-6200",
            "fax_number": "215-456-6227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLAZZO",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME143682",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD063635L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175110",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.