Andrew T Cleveland, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2540 Issued in CO

Practice address

1830 Franklin St
Suite 450
Denver, CO 80218-1128

Phone

(303) 321-1333

Fax

(303) 321-0620

NPI assigned

Nov 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Platte Valley Medical Group LLCGroup PAC ID 5890054100, 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Homecare - Denver Home health agency, Denver, CO, CCN 067201
• Intermountain Health Platte Valley Hospital Hospital, Brighton, CO, CCN 060004

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Platte Valley Medical Group, LLC

  • Family Medicine Physician
  • Brighton, CO
  • NPI 1922812593
  Medicare reassignment Care Compare group NPD
• Platte Valley Medical Group, LLC

  • Family Medicine Physician
  • Thornton, CO
  • NPI 1114704822
  NPD
• Platte Valley Medical Group LLC

  • Family Medicine Physician
  • Brighton, CO
  • NPI 1730698820
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brighton Community Hospital Association

  • General Acute Care Hospital
  • Brighton, CO
  • NPI 1629071758
  Care Compare affiliation
• SCL Front Range Home Health, LLC

  • Home Health Agency
  • Denver, CO
  • NPI 1609863984
  Care Compare affiliation

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1295916088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 FRANKLIN ST",
            "address_2": "SUITE 450",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181128",
            "telephone_number": "303-321-1333",
            "fax_number": "303-321-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 FRANKLIN ST",
            "address_2": "SUITE 450",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181128",
            "telephone_number": "303-321-1333",
            "fax_number": "303-321-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "ANDREW",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "2540",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04403819",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04013215",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittney Clement, ARNP
• Ana Clements-Benedict
• Richard Seawell Clemmons, MD
• Brigitte Clench
• Danielle Clenney
• Patrick William Cleveland, LPC
• Clever Dental
• Kristin Brianne Clever, R.N.
• Makenzie Rae Clevinger, MFTC, CACII
• Hannah Cliff

• Surgical Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.