Active NPI
Justin Shawn Kliewer, AA
- Anesthesiologist Assistant
- Greenwood Village, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- ANT.0000248
- Practice address
- 8000 E Maplewood Ave Ste 120
Greenwood Village, CO 80111-4766 - Phone
- (303) 438-3999
- Fax
- (720) 439-9500
- NPI assigned
- Oct 5, 2023
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | ANT.0000248 | CO | Primary |
| Anesthesiologist Assistant | 367H00000X | PENDING | MO |
Addresses
Primary practice location
8000 E Maplewood Ave Ste 120
Greenwood Village, CO 80111-4766
Mailing address
PO Box 840862
Dallas, TX 75284-0862
Phone (303) 377-7638
Other practice location 1
615 S New Ballas Rd Dept Of
Saint Louis, MO 63141-8221
Phone (636) 386-9224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2222 N Nevada Ave
Penrose Hospital
Colorado Springs, CO 80907-6819
Phone (303) 438-3999
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Georgia LLC | Anesthesiologist Assistant | Current | Accepting new patients |
| US Anesthesia Partners of Colorado Inc. | Anesthesiologist Assistant | Current | Accepting new patients |
| US Anesthesia Partners of Kansas PA | Current | Accepting new patients |
Locations
2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333
8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111
10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000
2655 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 690-7804
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
1600 Medical Way
Ste 100
Snellville, GA 30078
Phone (770) 736-2225
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844
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.
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
Anesthesiologist Assistant
-
- Anesthesiology Physician
- Snellville, GA
- NPI 1811403207
Anesthesiologist Assistant
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1811415599
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1295431765
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1801436415
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1932112125
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1669252763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840862",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840862",
"telephone_number": "303-377-7638",
"fax_number": "303-780-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 E MAPLEWOOD AVE STE 120",
"city": "GREENWOOD VILLAGE",
"state": "CO",
"postal_code": "801114766",
"telephone_number": "303-438-3999",
"fax_number": "720-439-9500"
}
],
"practiceLocations": [
{
"address_1": "615 S New Ballas Rd Dept Of",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418221",
"country_code": "US",
"telephone_number": "636-386-9224",
"fax_number": "636-386-7679",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLIEWER",
"first_name": "JUSTIN",
"middle_name": "SHAWN",
"name_prefix": "Mr.",
"credential": "AA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-05",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "CO",
"license": "ANT.0000248",
"primary": true
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "MO",
"license": "PENDING",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood Village, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.