Active NPI
Lisa Collazzo, MD
- Diagnostic Radiology Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME143682
- Practice address
- 1475 NW 12TH Ave
Miami, FL 33136-1002 - Phone
- (305) 243-5512
- NPI assigned
- Sep 13, 2005
- Last updated
- Jun 2, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0175110 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, GA, FL, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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 Inc
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| University of Miami | Diagnostic Radiology | Current | Accepting new patients |
| University of Miami | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Christiana Care Pennsylvania Inc | Diagnostic Radiology | Current | Accepting new patients |
| Quantum Imaging & Therapeutic Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan, Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Southeast Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Southern OB GYN Associates P C | Current | Accepting new patients | |
| Christiana Care Pennsylvania Inc | Current | Accepting new patients | |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| Christiana Care Health Services Inc | Diagnostic Radiology | Current | 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
- 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.
-
dba CCHS Imaging PA
- Diagnostic Radiology Physician
- West Grove, PA
- NPI 1467298299
-
- Diagnostic Radiology Physician
- Lewisberry, PA
- NPI 1609863893
-
dba Christiana Care Cardiology of Southern Chester County
- Cardiovascular Disease Physician
- West Grove, PA
- NPI 1659547560
-
dba CCHS Imaging
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1942553615
-
dba CCHS-Radiology
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1952335556
PA
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Diagnostic Radiology Physician
- Chester, PA
- NPI 1790779684
-
- Obstetrics & Gynecology Physician
- Valdosta, GA
- NPI 1801951454
-
dba Temple Faculty Anesthesiology Associates
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
dba Einstein Psychiatry Assoc
- Psychiatry Physician
- Philadelphia, PA
- NPI 1760434468
-
dba UMiami Medicine - Radiology
- Diagnostic Radiology Physician
- Miami, FL
- NPI 1104876622
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1366653818
-
dba Sylvester Comprehensive Cancer Center
- Special Hospital
- Miami, FL
- NPI 1679660617
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- Carlisle, PA
- NPI 1689107328
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.