Individual provider Active NPI

Doris Andrea Kleinert, M.D.

  • Family Medicine Physician
  • Castle Rock, CO
National Provider Identifier
1861474751
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38172 Issued in CO
Practice address
4386 Trail Boss Dr
Castle Rock, CO 80104-7512
Phone
(303) 688-8666
Fax
(303) 688-8260
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38172 CO Primary

Addresses

Primary practice location

4386 Trail Boss Dr
Castle Rock, CO 80104-7512

Mailing address

7495 Pyrite Way
Castle Rock, CO 80108-3052
Phone (303) 282-5251

Other identifiers 1

IdentifierTypeStateIssuer
86609823MedicaidCO

Other names 1

  • Dr. 'Andi' Kleinert Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001520 CO Practitioner - Family Practice 2365436946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KC Medical PCGroup PAC ID 5597781666, 2 clinicians

Practice addresses (Care Compare)

4386 Trail Boss Dr
Castle Rock, CO 80104-7512
Phone (303) 688-8666

Hospital & facility affiliations

  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38172COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KC Medical PC Family Medicine CurrentSince Jul 28, 2005 Accepting new patients
Onpoint Medical Group, LLC Family Medicine Past Accepting new patients

Locations

4386 Trail Boss Dr
Ste A
Castle Rock, CO 80104
Phone (303) 688-8666

4386 Trail Boss Dr
Castle Rock, CO 80104
Phone (303) 688-8666

Interoperability endpoints

  • Direct secure messaging: doris.kleinert.1@2609.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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1861474751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7495 PYRITE WAY",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083052",
            "telephone_number": "303-282-5251",
            "fax_number": "303-688-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4386 TRAIL BOSS DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047512",
            "telephone_number": "303-688-8666",
            "fax_number": "303-688-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINERT",
        "first_name": "DORIS",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "38172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86609823",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "'ANDI'",
            "last_name": "KLEINERT",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.