NPIMap

Individual provider Active NPI

Andrew Stokes Kleaveland, MD

  • Emergency Medicine Physician
  • Redmond, OR
National Provider Identifier
1043571342
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD171934 Issued in OR
Practice address
1253 NW Canal Blvd
Redmond, OR 97756-1334
Phone
(541) 548-8131
Fax
(541) 460-4028
NPI assigned
Jun 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD20388 ME
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X MD171934 OR Primary

Addresses

Primary practice location

1253 NW Canal Blvd
Redmond, OR 97756-1334

Mailing address

PO Box 6096
Bend, OR 97708-6096
Phone (541) 548-8131

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akleaveland18209@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150903001749 OR Practitioner - Emergency Medicine 2365676079 Reassigns benefits to 6 organizations
I20200515001031 ID Practitioner - Emergency Medicine 2365676079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 3870402852, shared by 10 NPIs, 174 clinicians

Practice addresses (Care Compare)

384 SE Combs Flat Rd
Prineville, OR 97754-2562
Phone (541) 706-2768

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
St. Charles Health System, Inc. Emergency Medicine Current Accepting new patients
Cep America, LLC Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
St. Charles Health System, Inc. Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Bend Memorial Clinic PC Emergency Medicine CurrentSince Nov 1, 2016 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Bend Memorial Clinic PC CurrentSince Nov 1, 2016 Accepting new patients
St. Charles Health System, Inc. Emergency Medicine CurrentSince Jan 13, 2025 Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

29358 Network Pl
Chicago, IL 60673

1501 NE Medical Center Dr
Bend, OR 97701
Phone (541) 317-4354

13000 SW Century Dr
Bend, OR 97702
Phone (541) 706-5499

51781 Huntington Rd
La Pine, OR 97739
Phone (541) 666-7920

470 NE A St
Madras, OR 97741
Phone (541) 383-3668

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

384 SE Combs Flat Rd
Ste 1200
Prineville, OR 97754
Phone (541) 447-6263

384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

Interoperability endpoints

  • Direct secure messaging: akleaveland1563365@direct.trinity-health.org
  • Direct secure messaging: akleaveland18209@secure.stcharleshealthcare.org

Organizations & group practices 11

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 4

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1043571342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6096",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977086096",
            "telephone_number": "541-548-8131",
            "fax_number": "541-460-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 NW CANAL BLVD",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561334",
            "telephone_number": "541-548-8131",
            "fax_number": "541-460-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEAVELAND",
        "first_name": "ANDREW",
        "middle_name": "STOKES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "MD20388",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD171934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akleaveland18209@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "1253 NW Canal Blvd",
            "city": "Redmond",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977561334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.