Individual provider Active NPI

Marianne Bailliet, MD

  • Anesthesiology Physician
  • Greenwood Village, CO
National Provider Identifier
1417958141
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
48342 Issued in CO
Practice address
8000 E Maplewood Ave Ste 200
Greenwood Village, CO 80111-4727
Phone
(303) 438-3999
Fax
(720) 439-9500
NPI assigned
Aug 3, 2005
Last updated
Dec 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 48342 CO Primary
Anesthesiology Physician 207L00000X D0058679 MD

Addresses

Primary practice location

8000 E Maplewood Ave Ste 200
Greenwood Village, CO 80111-4727

Mailing address

8000 E Maplewood Ave Ste 200
Greenwood Village, CO 80111-4727
Phone (303) 438-3999

Other identifiers 1

IdentifierTypeStateIssuer
24486736MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100326000056 CO Practitioner - Anesthesiology 9234265588 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diehl Anesthesia IncGroup PAC ID 6800197575, 35 clinicians

Practice addresses (Care Compare)

9320 Grand Cordera Pkwy
Colorado Springs, CO 80924-7003
Phone (719) 258-1250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48342COMDAnesthesiology Physician
D0058679MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diehl Anesthesia Inc Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
US Anesthesia Partners of Colorado Inc. Anesthesiology CurrentSince Mar 1, 2016 Accepting new patients
American Anesthesiology of Maryland, P.C. Anesthesiology Past Accepting new patients

Locations

9320 Grand Cordera Pkwy
Colorado Springs, CO 80924
Phone (719) 258-1250

333 W Hampden Ave
Ste 600
Englewood, CO 80110
Phone (303) 761-5646

8000 E Maplewood Ave
Ste 200
Greenwood Village, CO 80111
Phone (303) 761-5646

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1417958141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 E MAPLEWOOD AVE STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114727",
            "telephone_number": "303-438-3999",
            "fax_number": "702-439-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 E MAPLEWOOD AVE STE 200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114727",
            "telephone_number": "303-438-3999",
            "fax_number": "720-439-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILLIET",
        "first_name": "MARIANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "48342",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0058679",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24486736",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.