Active NPI
Paul Stefan Leo, MD
- Pain Medicine (Anesthesiology) Physician
- Thornton, CO
National Provider Identifier
1821006123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 31742
- Practice address
- 9005 Grant St Ste 200
Thornton, CO 80229-4384 - Phone
- (303) 287-2800
- Fax
- (303) 287-7357
- NPI assigned
- Aug 3, 2006
- Last updated
- Jun 13, 2019
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 31742 | CO | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 31742 | CO |
Addresses
Primary practice location
9005 Grant St Ste 200
Thornton, CO 80229-4384
Mailing address
9005 Grant St
Ste 200
Thornton, CO 80229-4384
Phone (303) 287-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01317429 | Medicaid | CO |
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 Compare- Specialty
- Pain Management
- Education
- New York Medical College, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Physical Therapy of West Denver Limited Partnership
Practice addresses (Care Compare)
2152 E 88TH Ave
Thornton, CO 80229-5023
Phone (303) 227-0400
9005 Grant St
Suite 200
Thornton, CO 80229-4384
Phone (303) 287-2800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 50.3 of 100
- Quality
- 51.03
- Promoting interoperability
- 0
- Improvement activities
- 30
- Cost
- 72.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31742 | CO | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Spine and Orthopedics Inc | Current | Accepting new patients | |
| Western Anesthesia Consultants, PC | Past | Accepting new patients |
Locations
9005 Grant St
Ste 200
Thornton, CO 80229
Phone (303) 287-2800
Interoperability endpoints
- https://api.platform.athenahealth.com/9093/brand/1/csg/1/fhir/r4
- paul.leo.1@9093.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Thornton, CO
- NPI 1245215862
-
- Anesthesiology Physician
- Westminster, CO
- NPI 1619016938
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA HealthONE Mountain Ridge Hospital
- General Acute Care Hospital
- Thornton, CO
- NPI 1821042979
-
dba HCA HealthONE Northeast ER, A part of Mountain Ridge Hospital
- Emergency Care Clinic/Center
- Thornton, CO
- NPI 1447815881
Hospital
-
dba HCA HealthONE Northwest ER, A part of Mountain Ridge Hospital
- Emergency Care Clinic/Center
- Westminster, CO
- NPI 1639734072
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560384000000",
"number": "1821006123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9005 GRANT ST",
"address_2": "STE 200",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294384",
"telephone_number": "303-287-2800",
"fax_number": "303-287-7357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9005 GRANT ST STE 200",
"city": "THORNTON",
"state": "CO",
"postal_code": "802294384",
"telephone_number": "303-287-2800",
"fax_number": "303-287-7357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEO",
"first_name": "PAUL",
"middle_name": "STEFAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2019-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CO",
"license": "31742",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CO",
"license": "31742",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01317429",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.