Roberto Collazo-Maldonado, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

K5871 Issued in TX

Practice address

1411 N Beckley Ave Ste 370
Dallas, TX 75203-1513

Phone

(214) 358-2300

Fax

(214) 579-6983

NPI assigned

Sep 19, 2005

Last updated

Nov 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

NephrologyAlso: Internal Medicine

Education

University of Puerto Rico School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians

Physician Associates of Southwest DallasGroup PAC ID 3274519293, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kessler Park Regional Dialysis Center Dialysis facility, Dallas, TX, CCN 672831
• FMC South Dallas County Dialysis facility, Dallas, TX, CCN 452697
• Fresenius Medical Care of Cockrell Hill Dialysis facility, Dallas, TX, CCN 672659
• Methodist Dallas Medical Center Hospital, Dallas, TX, CCN 450051
• Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: rcollazomaldonado52274@direct.acumenmd.com
• Direct secure messaging: robertocollazomaldonado@dneph.allscriptsdirect.net

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.

• Dallas Nephrology Associates

  • Nephrology Physician
  • Dallas, TX
  • NPI 1861440109
  Medicare reassignment Care Compare group NPD
• Physician Associates of Southwest Dallas

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1801845425
  Medicare reassignment Care Compare group NPD
• Dallas Nephrology Associates

  dba Dallas Nephrology Associates Vascular Center Dallas

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
  • NPI 1053634030
  NPD
• Dallas Nephrology Associates

  dba Dallas Nephrology Associates Laboratory

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1154376085
  NPD

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

• Bio-Medical Applications of Texas, Inc.

  dba Fresenius Kidney Care South Dallas County

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dallas, TX
  • NPI 1720190614

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Texas, Inc.

  dba Fresenius Kidney Care Cockrell Hill

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dallas, TX
  • NPI 1982848610

  Dialysis facility

  Care Compare affiliation Name & address match
• Greater Irving II Regional Dialysis Center LLC

  dba Kessler Park Regional Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dallas, TX
  • NPI 1497128292

  Dialysis facility

  Care Compare affiliation Name & address match
• Methodist Hospitals of Dallas

  dba Methodist Charlton Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1275592131
  Care Compare affiliation
• Methodist Hospitals of Dallas

  dba Methodist Dallas Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1528027786
  Care Compare affiliation

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1942295647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 370",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031513",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO-MALDONADO",
        "first_name": "ROBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K5871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "K5871",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Collaborative Home Care
• Alisha Collaco
• John David Collantes, PTA
• Meredith Lynne Collard, DNP, RN, BSN
• Nikki Lynn Collard, RN
• Diamilet C Collazo, PT
• Ruth D Collazo, MD
• Melanie Collazos-Valencia, CRNA
• Zachary August Collen
• Christine Marie Collery, RDH

• Nephrology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.

Verify at the official NPI Registry.