Individual provider Active NPI

Anne Wierman Estares, D.O.

  • Anesthesiology Physician
  • Salt Lake City, UT
National Provider Identifier
1003053109
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
39 Issued in UT
Practice address
30 N 1900 E
RM 4C104
Salt Lake City, UT 84132-0002
Phone
(719) 314-5254
NPI assigned
Jan 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 39 UT Primary

Addresses

Primary practice location

30 N 1900 E
RM 4C104
Salt Lake City, UT 84132-0002

Mailing address

2920 N Cascade Ave
FL 3
Colorado Springs, CO 80907-6262
Phone (719) 314-5254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20121012000248 CO Practitioner - Anesthesiology 6608030937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Arizona College of Osteopathic Medicine Mid Western University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians

Practice addresses (Care Compare)

8000 E Maplewood Ave
Suite 200
Greenwood Village, CO 80111-4727
Phone (303) 438-3999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
39UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diehl Anesthesia Inc Anesthesiology CurrentSince Jan 4, 2019 Accepting new patients
US Anesthesia Partners of Colorado Inc. Anesthesiology CurrentSince Jul 19, 2018 Accepting new patients
Complete Care Office Anesthesia LLC Past Accepting new patients

Locations

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

8000 E Maplewood Ave
Ste 200
Greenwood Village, CO 80111
Phone (303) 785-4700

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

Organizations & group practices 3

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": "1231632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1003053109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "FL 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076262",
            "telephone_number": "719-314-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E",
            "address_2": "RM 4C104",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320002",
            "telephone_number": "719-314-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTARES",
        "first_name": "ANNE",
        "middle_name": "WIERMAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-11",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "UT",
            "license": "39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.