Active NPI
Caleb Christian Minetree, PA
- Surgical Physician Assistant
- Highlands Ranch, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA.0006924
- Practice address
- 1500 Park Central Dr Ste 150
Highlands Ranch, CO 80129-6688 - Phone
- (720) 848-0000
- NPI assigned
- Feb 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TX | ||
| Surgical Physician Assistant | 363AS0400X | PA.0006924 | CO | Primary |
Addresses
Primary practice location
1500 Park Central Dr Ste 150
Highlands Ranch, CO 80129-6688
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice location 1
1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 792-6161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382828701 | Medicaid | TX | |
| 382828702 | Other | TX | CSHCN |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13123 E 16TH Ave
Aurora, CO 80045-7106
Phone (720) 777-1234
Hospital & facility affiliations
- Uchealth Highlands Ranch Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0006924 | CO | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians, Incorporated | Current | Accepting new patients | |
| University Physicians Incorporated | Current | Accepting new patients | |
| University Physicians Incorporated | Physician Assistant | Past | Accepting new patients |
Locations
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
1500 Park Central Dr
Ste 501
Highlands Ranch, CO 80129
Phone (720) 516-5000
1500 Park Central Dr
Littleton, CO 80129
Phone (720) 516-1000
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.
-
- Internal Medicine Physician
- Aurora, CO
- NPI 1962461889
Physician Assistant
-
- Pediatrics Physician
- Colorado Springs, CO
- NPI 1376902460
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Denver, CO
- NPI 1275045049
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Highlands Ranch, CO
- NPI 1891294518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1306347588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PARK CENTRAL DR STE 150",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801296688",
"telephone_number": "720-848-0000"
}
],
"practiceLocations": [
{
"address_1": "1515 Holcombe Blvd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "77030",
"country_code": "US",
"telephone_number": "713-792-6161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINETREE",
"first_name": "CALEB",
"middle_name": "CHRISTIAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-23",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CO",
"license": "PA.0006924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "382828701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "382828702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highlands Ranch, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.