Clifton A Daniels, M D
Individual provider Active NPI Anesthesiology Physician · Golden, CO
NPI 1790760460 · NPPES record last updated Sep 25, 2007
Key facts
- NPI
- 1790760460
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 42620 (CO)
- Practice address
- 1819 Denver West Dr
Suite 200
Golden, CO 80401-3118 - Phone
- (303) 422-9438
- Fax
- (303) 422-9474
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of Chicago, Pritzker School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physician Anesthesia Services PC
Practice addresses (Care Compare)
12911 W 40TH Ave
Golden, CO 80401-2696
Phone (303) 425-4500
Hospital & facility affiliations
- Intermountain Health Lutheran Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040723000855 | CO | Practitioner - Anesthesiology | 4183604622 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Anesthesia Services PC | Anesthesiology | Current |
Accepting new patients |
Locations
1819 Denver West Dr
Ste 200
Lakewood, CO 80401
Phone 30342294381018
8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 42620 | CO | Yes |
Addresses
Primary practice location
1819 Denver West Dr
Suite 200
Golden, CO 80401-3118
Mailing address
PO Box 668
Arvada, CO 80001-0668
Phone (303) 422-9438
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84573538 | Medicaid | CO |
Other providers in Golden, CO
- Alana D'Ambrosio
- Trisha Daly
- Cindy Danaher
- Lynn M Dananay
- Jason Dandino
- Tayler Mae Daniels
- Anastasia Alyse Darragh
- Gina Dattoli
- Maire C Daugharty
- Abigail Daurio
All providers in Golden, CO · Anesthesiology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.