Individual provider Active NPI

Kristin P Collado, PA

  • Physician Assistant
  • Buffalo, NY
National Provider Identifier
1295829364
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102697 Issued in NC
Practice address
570 Richmond Ave Apt 2
Buffalo, NY 14222-1524
Phone
(716) 341-5855
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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 102697 NC Primary

Addresses

Primary practice location

570 Richmond Ave Apt 2
Buffalo, NY 14222-1524

Mailing address

570 Richmond Ave Apt 2
Buffalo, NY 14222-1524
Phone (716) 341-5855

Other identifiers 3

IdentifierTypeStateIssuer
0167GOtherNCBCBSNC
91934OtherNCMEDCOST
2624961OtherNCUHC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KCollado@direct.kaleidahealth.org Direct Kaleida Health

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
I20091028000549 NY Practitioner - Physician Assistant 2466599196 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

1540 Maple Rd
Williamsville, NY 14221-3647
Phone (716) 568-3600

3898 Vineyard Dr
Dunkirk, NY 14048-3559
Phone (716) 710-8266

45 Spindrift Dr
Suite 100
Williamsville, NY 14221-7889
Phone (716) 422-5422

Hospital & facility affiliations

  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102697NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sisters of Charity Hospital of Buffalo, New York Current Accepting new patients
Sisters of Charity Hospital of Buffalo New York CurrentSince Feb 19, 2024 Accepting new patients
Eastern Great Lakes Pathology PC Current Accepting new patients
Carolina Rehabilitation and Surgical Associates, PA PastSince Nov 17, 2025 Accepting new patients
Sisters of Charity Hospital of Buffalo New York Past Accepting new patients

Locations

2157 Main St
Fl 1
Buffalo, NY 14214
Phone (716) 862-1984

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

908 Niagara Falls Blvd
Ste 208
North Tonawanda, NY 14120
Phone (716) 649-1613

45 Spindrift Dr
Williamsville, NY 14221
Phone (716) 422-5422

45 Spindrift Dr
Ste 100
Williamsville, NY 14221
Phone (716) 422-5422

Interoperability endpoints

  • Direct secure messaging: kcollado@gppc.medentdirect.com
  • Direct secure messaging: kcollado@direct.kaleidahealth.org

Organizations & group practices 7

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 6

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1295829364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 RICHMOND AVE APT 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221524",
            "telephone_number": "716-341-5855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 RICHMOND AVE APT 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142221524",
            "telephone_number": "716-341-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLADO",
        "first_name": "KRISTIN",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "0167G",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "91934",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2624961",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KCollado@direct.kaleidahealth.org",
            "affiliation": "Y",
            "affiliationName": "Kaleida Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 High St",
            "city": "Buffalo",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142031126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.