Individual provider Active NPI

Michael J Klevens, M.D.

  • Emergency Medicine Physician
  • Chesterfield, MO
National Provider Identifier
1063445500
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2003001820 Issued in MO
Practice address
1722 Clarkson Rd
Chesterfield, MO 63017-4976
Phone
(636) 206-2665
Fax
(636) 206-2664
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2003001820 MO Primary

Addresses

Primary practice location

1722 Clarkson Rd
Chesterfield, MO 63017-4976

Mailing address

1722 Clarkson Rd
Chesterfield, MO 63017-4976
Phone (636) 206-2665

Other practice location 1

232 S Woods Mill Rd
Chesterfield, MO 63017-3417
Phone (314) 205-6990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20051202000569 MO Practitioner - Emergency Medicine 4082634209 Reassigns benefits to 6 organizations
I20250506002175 AR Practitioner - Emergency Medicine 4082634209 Reassigns benefits to 1 organization
I20250506002578 OK Practitioner - Emergency Medicine 4082634209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Drexel University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy East Ambulatory Services LLCGroup PAC ID 2365739240, 102 clinicians

Practice addresses (Care Compare)

1722 Clarkson Rd
Chesterfield, MO 63017-4976
Phone (636) 206-2665

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003001820MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy East Ambulatory Services LLC CurrentSince May 1, 2025 Accepting new patients
Mercy Northwest Arkansas Ambulatory Services LLC CurrentSince May 5, 2025 Accepting new patients
Emergency Physicians of St. Luke'S, LLC Emergency Medicine CurrentSince Mar 1, 2014 Accepting new patients
Mercy Southern Missouri Ambulatory Services LLC CurrentSince May 5, 2025 Accepting new patients
Mercy Hospital Lincoln CurrentSince May 5, 2025 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince May 5, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities Past Accepting new patients
Lincoln County Hospital Past Accepting new patients

Locations

2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485

1722 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 206-2665

233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644

508 Old Smizer Mill Rd
Fenton, MO 63026
Phone (636) 343-5223

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

2150 W Republic Rd
Ste 112
Springfield, MO 65807
Phone (417) 986-1291

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

1000 E Cherry St
Troy, MO 63379
Phone (636) 528-3327

900 E Cherry St
Troy, MO 63379
Phone (636) 528-8585

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

Organizations & group practices 9

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 1

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1063445500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174976",
            "telephone_number": "636-206-2665",
            "fax_number": "636-206-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 CLARKSON RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174976",
            "telephone_number": "636-206-2665",
            "fax_number": "636-206-2664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 S Woods Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630173417",
            "country_code": "US",
            "telephone_number": "314-205-6990",
            "fax_number": "314-205-6073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEVENS",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2003001820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.