Individual provider Active NPI

Colette C Madison, PA

  • Physician Assistant
  • Pittsford, NY
National Provider Identifier
1104884428
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0074431 Issued in NY
Practice address
77 Sullys Trail
Pittsford, NY 14534
Phone
(585) 248-5300
Fax
(585) 248-3427
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0074431 NY Primary

Addresses

Primary practice location

77 Sullys Trail
Pittsford, NY 14534

Mailing address

800 Carter Street
Attn Kelly Steele
Rochester, NY 14621
Phone (585) 339-4793

Other identifiers 4

IdentifierTypeStateIssuer
970028206OtherNYMEDICARE RAILROAD #
109289BJOtherNYPREFERRED CARE #
P019007443OtherNYBLUE CHOICE #
9513997OtherNYIHA #

Other names 1

  • Colette E Chaintreuil Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050325000108 NY Practitioner - Physician Assistant 8123074820 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

100 Kings Hwy S
Rochester, NY 14617-5504

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

2400 Clinton S Ave F
Rochester, NY 14618-2668
Phone (585) 244-7200

2400 Clinton S Ave G
Rochester, NY 14618-2668
Phone (585) 341-7685

2400 Clinton S Ave H
Rochester, NY 14618-2668
Phone (585) 341-7143

2400 S Clinton Ave
BLDG H
Rochester, NY 14618-2668
Phone (585) 341-7200

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0074431NYMDMental Health Counselor
007443NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Oct 22, 2018 Accepting new patients
University of Rochester CurrentSince Jun 16, 2025 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Apr 1, 2018 Accepting new patients
University of Rochester CurrentSince Jun 16, 2025 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Apr 1, 2018 Accepting new patients

Locations

77 Sullys Trl
Ste 100
Pittsford, NY 14534
Phone (585) 424-6210

77 Sullys Trl
Pittsford, NY 14534
Phone (585) 248-5300

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

2701 Culver Rd
Rochester, NY 14622
Phone (585) 266-4000

1425 Portland Ave
Bldg 1
Rochester, NY 14621
Phone (585) 338-1400

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • Direct secure messaging: cmadison50171@direct.urmc.rochester.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1104884428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CARTER STREET",
            "address_2": "ATTN KELLY STEELE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14621",
            "telephone_number": "585-339-4793",
            "fax_number": "585-336-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 SULLYS TRAIL",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "14534",
            "telephone_number": "585-248-5300",
            "fax_number": "585-248-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "COLETTE",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0074431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD #",
            "identifier": "970028206",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE #",
            "identifier": "109289BJ",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE #",
            "identifier": "P019007443",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA #",
            "identifier": "9513997",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLETTE",
            "last_name": "CHAINTREUIL",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.