Individual provider Active NPI

Colleen Ann Nugent, M.D

  • Pediatric Gastroenterology Physician
  • Batavia, NY
National Provider Identifier
1649404260
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
269160 Issued in NY
Practice address
164 Washington Ave
Batavia, NY 14020-2113
Phone
(585) 250-4132
Fax
(585) 345-4250
NPI assigned
May 11, 2009
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 269160 NY Primary

Addresses

Primary practice location

164 Washington Ave
Batavia, NY 14020-2113

Mailing address

164 Washington Ave
Batavia, NY 14020-2113
Phone (585) 250-4132

Other identifiers 1

IdentifierTypeStateIssuer
390200000XOtherNY390200000X

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709002328 NY Practitioner - Pediatric Medicine 3375855901 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269160NYMDPediatric Gastroenterology Physician

Interoperability endpoints

  • Direct secure messaging: cnugent@wnypedgi.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1649404260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 WASHINGTON AVE",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202113",
            "telephone_number": "585-250-4132",
            "fax_number": "585-345-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 WASHINGTON AVE",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202113",
            "telephone_number": "585-250-4132",
            "fax_number": "585-345-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "COLLEEN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NY",
            "license": "269160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "390200000X",
            "identifier": "390200000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.