Active NPI
Michael L Kloep, M.D.
- Emergency Medicine Physician
- Pagosa Springs, CO
National Provider Identifier
1649220245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 036-076646
- Practice address
- 95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329 - Phone
- (970) 731-3700
- Fax
- (970) 731-3708
- NPI assigned
- May 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-076646 | IL | Primary |
Addresses
Primary practice location
95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Mailing address
95 S Pagosa Blvd
Pagosa Springs, CO 81147-8329
Phone (970) 731-3700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649220245 | Medicaid | KY | |
| 036076646-3 | Medicaid | IL |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.74 of 100
- Quality
- 92.26
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-076646 | IL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper San Juan Health Service District | Current | Accepting new patients | |
| Statera Health Care, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
95 S Pagosa Blvd
Pagosa Springs, CO 81147
Phone (970) 731-3700
Interoperability endpoints
- mkloep@yourcarecommunity.org
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Pagosa Springs, CO
- NPI 1659523058
-
- Emergency Medicine Physician
- Harrisburg, IL
- NPI 1043874449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1649220245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 S PAGOSA BLVD",
"city": "PAGOSA SPRINGS",
"state": "CO",
"postal_code": "811478329",
"telephone_number": "970-731-3700",
"fax_number": "970-731-3708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 S PAGOSA BLVD",
"city": "PAGOSA SPRINGS",
"state": "CO",
"postal_code": "811478329",
"telephone_number": "970-731-3700",
"fax_number": "970-731-3708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOEP",
"first_name": "MICHAEL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "036-076646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649220245",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036076646-3",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pagosa Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.