Individual provider Active NPI

Jeremiah Blankenship, D.O.

  • Anesthesiology Physician
  • Denver, CO
National Provider Identifier
1982861597
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0050891 Issued in CO
Practice address
455 Sherman St
Suite 510
Denver, CO 80203-4400
Phone
(303) 744-8644
Fax
(303) 780-0787
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0050891 CO Primary

Addresses

Primary practice location

455 Sherman St
Suite 510
Denver, CO 80203-4400

Mailing address

455 Sherman St
Suite 510
Denver, CO 80203-4400
Phone (303) 744-8644

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
I20120824000503 CO Practitioner - Anesthesiology 6608023726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glenwood Anesthesia Professionals, PCGroup PAC ID 6800015843, 24 clinicians

Practice addresses (Care Compare)

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 945-7564

Hospital & facility affiliations

  • Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075

Merit-based Incentive Payment System (MIPS)

Final score
93.99 of 100Reported as group
Quality
97.98
Improvement activities
40
Cost
82.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0050891COMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glenwood Anesthesia Professionals, PC Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Anesthesia Consultants PC Anesthesiology Past Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

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 2

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1982861597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 SHERMAN ST",
            "address_2": "SUITE 510",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802034400",
            "telephone_number": "303-744-8644",
            "fax_number": "303-780-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SHERMAN ST",
            "address_2": "SUITE 510",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802034400",
            "telephone_number": "303-744-8644",
            "fax_number": "303-780-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "JEREMIAH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "0050891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.