Colleen A Mattimore, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

194429 Issued in NY

Practice address

2924 Main St
Buffalo, NY 14214-1720

Phone

(716) 837-0995

Fax

(716) 837-1203

NPI assigned

Jan 31, 2006

Last updated

Jun 30, 2026By the provider in NPPES

Sex

Female

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: colleenmattimoremd@mhawny.medentdirect.com

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.

• Main Buffalo Pediatrics LLP

  • Legal Medicine
  • Buffalo, NY
  • NPI 1194876300
  NPD (past)
• Medical Health Associates of Western New York PLLC

  • Pediatrics Physician
  • Williamsville, NY
  • NPI 1013453273
  NPD (past)
• Western New York Pediatric Associates, LLP

  • Pediatrics Physician
  • Orchard Park, NY
  • NPI 1538257977
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1053382549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 MAIN ST STE 10",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216054",
            "telephone_number": "716-539-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2924 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141720",
            "telephone_number": "716-837-0995",
            "fax_number": "716-837-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTIMORE",
        "first_name": "COLLEEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "194429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000523597001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01559897",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1207139",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00010113101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Charles Matteliano, PHARMD
• Ruth M Mattern, MD
• Julia Matteson
• Matthew H Davis LCSW, PLLC
• Matthew Rubacha
• Grace Mattina
• Erica Mattison
• Andrew Mattle, LMHC
• David M Mattson Jr., MD
• Deborah K Matuch, PT, DPT

• Pediatrics Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.