Individual provider Active NPI

Michael E McCleery, P.A.

  • Medical Physician Assistant
  • Englewood, CO
National Provider Identifier
1811975915
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1678 Issued in CO
Practice address
799 E Hampden Ave Ste 305
Englewood, CO 80113-2766
Phone
(720) 307-7246
Fax
(720) 502-5271
NPI assigned
Jan 9, 2006
Last updated
May 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1678 CO
Medical Physician Assistant 363AM0700X 1678 CO Primary

Addresses

Primary practice location

799 E Hampden Ave Ste 305
Englewood, CO 80113-2766

Mailing address

9195 Grant St Ste 205
Thornton, CO 80229-4386
Phone (720) 307-7246

Other identifiers 1

IdentifierTypeStateIssuer
65203232MedicaidCO

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928001584 CO Practitioner - Physician Assistant 7012942972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allpria Healthcare Centers, PCGroup PAC ID 5193147999, 3 clinicians

Practice addresses (Care Compare)

1400 S Potomac St
Suite 150
Aurora, CO 80012-4541
Phone (720) 307-7246

799 E Hampden Ave
Suite 305
Englewood, CO 80113-2766
Phone (720) 307-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1678COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allpria Healthcare Centers, P.C. CurrentSince May 18, 2025 Accepting new patients
Rocky Mountain Urgent Care, LLC CurrentSince Apr 23, 2018 Accepting new patients
Potomac Square Family Medicine, LLC CurrentSince Apr 23, 2018 Accepting new patients
Senior Care of Colorado, PC Physician Assistant Past Accepting new patients

Locations

13650 E Mississippi Ave
Ste 100B
Aurora, CO 80012
Phone (303) 695-1338

13650 E Mississippi Ave
Ste 110
Aurora, CO 80012
Phone (303) 695-8814

1400 S Potomac St
Ste 150
Aurora, CO 80012
Phone (720) 307-7246

750 W Hampden Ave
Ste 105
Englewood, CO 80110
Phone (303) 341-4730

799 E Hampden Ave
Ste 305
Englewood, CO 80113
Phone (720) 307-7246

9195 Grant St
Ste 205
Thornton, CO 80229
Phone (720) 307-7246

Organizations & group practices 4

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1811975915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST STE 205",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294386",
            "telephone_number": "720-307-7246",
            "fax_number": "720-502-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 E HAMPDEN AVE STE 305",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132766",
            "telephone_number": "720-307-7246",
            "fax_number": "720-502-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEERY",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "1678",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65203232",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.