Individual provider Active NPI

Christopher R. Collaco, M.D.

  • Allergy & Immunology Physician
  • Houston, TX
National Provider Identifier
1982622510
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
L3266 Issued in TX
Practice address
3914 Gramercy St
Suite a
Houston, TX 77025-1160
Phone
(713) 888-0881
Fax
(713) 888-0891
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X L3266 TX Primary

Addresses

Primary practice location

3914 Gramercy St
Suite a
Houston, TX 77025-1160

Mailing address

3914 Gramercy St Ste a
Suite G
Houston, TX 77025-1107
Phone (713) 888-0881

Other identifiers 3

IdentifierTypeStateIssuer
8BV940OtherTXBCBS
0075959OtherTXBLUE LINK
151929002MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061016000425 TX Practitioner - Allergy/ImmunologyPractitioner - General Practice 5597761411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Texas Medical Branch at Galveston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3914 Gramercy St a
Houston, TX 77025-1107
Phone (713) 888-0881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3266TXMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher Collaco MD PHD PA Allergy & Immunology CurrentSince Oct 1, 2008 Accepting new patients

Locations

4003 Bellaire Blvd
Ste G
Houston, TX 77025
Phone (281) 253-3557

3914 Gramercy St
#A
Houston, TX 77025
Phone (713) 888-0881

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADJFAA/Endpoint/ADJFAA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1982622510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 GRAMERCY ST STE A",
            "address_2": "SUITE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251107",
            "telephone_number": "713-888-0881",
            "fax_number": "713-888-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 GRAMERCY ST",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770251160",
            "telephone_number": "713-888-0881",
            "fax_number": "713-888-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLACO",
        "first_name": "CHRISTOPHER",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "L3266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BV940",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "0075959",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151929002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.