NPIMap

Organization Active NPI

Peak Gastroenterology Associates

  • Gastroenterology Physician
  • Colorado Springs, CO
National Provider Identifier
1023112117
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
39991 Issued in CO
Legal business name
PEAK GASTROENTEROLOGY ASSOCIATES
Practice address
2920 N Cascade Ave Ste 301
Colorado Springs, CO 80907-6265
Phone
(719) 636-1201
Fax
(719) 955-0986
NPI assigned
Sep 11, 2006
Last updated
Oct 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Authorized official

Name
Smita Patel
Title
Administrator
Phone
(719) 310-6731

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 32410 CO
Gastroenterology Physician 207RG0100X 37170 CO
Gastroenterology Physician 207RG0100X 39991 CO Primary

Addresses

Primary practice location

2920 N Cascade Ave Ste 301
Colorado Springs, CO 80907-6265

Mailing address

2920 N Cascade Ave Ste 301
Colorado Springs, CO 80907-6265
Phone (719) 636-1201

Other practice location 1

595 Chapel Hills Dr Ste 303
Colorado Springs, CO 80920-1057
Phone (719) 636-1201

Other identifiers 2

IdentifierTypeStateIssuer
PA648080OtherCOBCBS
04018834MedicaidCO

Other names 1

  • Bhaktasharan C Patel MD PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040601000848 CO Part B Supplier - Clinic/Group Practice 2961484365 Receives reassigned benefits from 91 practitioners
Practice locations: Colorado Springs, CO; Lone Tree, CO
O20211228001969 TN Part B Supplier - Clinic/Group Practice 2961484365 Receives reassigned benefits from 1 practitioner
Practice locations: Memphis, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2103509Peak Gastroenterology Associates2920 North Cascade Ave, Suite 300, Colorado Springs, CO 80907ComplianceMay 7, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

  • Maya LLC
    • Certified Registered Nurse Anesthetist
    • Colorado Springs, CO
    • NPI 1235503509

    Member Of

    NPD member

Locations

2920 N Cascade Ave
Colorado Springs, CO 80907
Phone (719) 636-3937

2920 N Cascade Ave
#P
Colorado Springs, CO 80907

2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907

2920 N Cascade Ave
Ste 301
Colorado Springs, CO 80907
Phone (719) 659-0275

2920 N Cascade Ave
Ste 330
Colorado Springs, CO 80907

719 N Cascade Ave
Colorado Springs, CO 80903
Phone (719) 433-7224

Practitioners & affiliated clinicians

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1023112117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE STE 301",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076265",
            "telephone_number": "719-636-1201",
            "fax_number": "719-955-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE STE 301",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076265",
            "telephone_number": "719-636-1201",
            "fax_number": "719-955-0986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Chapel Hills Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809201057",
            "country_code": "US",
            "telephone_number": "719-636-1201",
            "fax_number": "719-955-0986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEAK GASTROENTEROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SMITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-310-6731"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "32410",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "37170",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "39991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PA648080",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04018834",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bhaktasharan C Patel MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Bhaktasharan C Patel MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.