Active NPI
Steven Michael Antonovich, D.O.
- Anesthesiology Physician
- Castle Rock, CO
National Provider Identifier
1376924449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- DR.0061565
- Practice address
- 2350 Meadows Blvd
Castle Rock, CO 80109-8405 - Phone
- (720) 455-2548
- NPI assigned
- Jun 15, 2015
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TL0005822 | CO | |
| Anesthesiology Physician | 207L00000X | DR.0061565 | CO | Primary |
Addresses
Primary practice location
2350 Meadows Blvd
Castle Rock, CO 80109-8405
Mailing address
8000 E Maplewood Ave
Greenwood Village, CO 80111-4766
Phone (303) 785-4700
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190802002629 | CO | Practitioner - Anesthesiology | 2769790385 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- US Anesthesia Partners of Colorado Inc
Practice addresses (Care Compare)
2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (303) 438-3999
Hospital & facility affiliations
- Adventhealth Castle Rock
- AdventHealth Parker
- Sky Ridge Medical Center
- The Medical Center of Aurora & South Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.8 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 76.83
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0061565 | CO | MD | Anesthesiology Physician |
| TL0005822 | CO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Anesthesia Partners of Colorado Inc. | Anesthesiology | Current | Accepting new patients |
Locations
2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413
1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000
8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
Anesthesiology, CO
Hospital & facility affiliations 19
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": "1434326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1376924449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 E MAPLEWOOD AVE",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801114766",
"telephone_number": "303-785-4700",
"fax_number": "303-336-8350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 MEADOWS BLVD",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801098405",
"telephone_number": "720-455-2548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONOVICH",
"first_name": "STEVEN",
"middle_name": "MICHAEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-15",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "TL0005822",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "DR.0061565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.