Individual provider Active NPI

Bhaktasharan Chimanbhai Patel, MD

  • Gastroenterology Physician
  • Colorado Springs, CO
National Provider Identifier
1053415463
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
32410 Issued in CO
Practice address
2920 N Cascade Ave
Ste 301
Colorado Springs, CO 80907-6265
Phone
(719) 636-1201
Fax
(719) 636-1326
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 32410 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 identifiers 2

IdentifierTypeStateIssuer
01324102MedicaidCO
1048080OtherCOBCBS

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
I20100927000498 CO Practitioner - GastroenterologyPractitioner - Internal Medicine 8820070238 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Peak Gastroenterology AssociatesGroup PAC ID 2961484365, 32 clinicians

Practice addresses (Care Compare)

1400 E Boulder
Suite 2410 Pre Procedure Memorial
Colorado Springs, CO 80909-5533
Phone (719) 365-6525

1400 E Boulder St
Colorado Springs, CO 80909-5533

2920 N Cascade Ave
Colorado Springs, CO 80907-6262
Phone (719) 636-1201

4050 Briargate Pkwy
Colorado Springs, CO 80920-7815

4080 Briargate Pkwy
Colorado Springs, CO 80920-7815
Phone (719) 365-6800

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • Parkview Medical Center, Inc Hospital, Pueblo, CO, CCN 060020
  • Uchealth Grandview Hospital Hospital, Colorado Springs, CO, CCN 060130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy235
Upper gastrointestinal (GI) endoscopy for acid reflux221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32410COMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Feb 17, 2014 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 28, 2015 Accepting new patients
Portercare Adventist Health System CurrentSince Feb 17, 2014 Accepting new patients
Maya LLC CurrentSince Jul 21, 2015 Accepting new patients
Peak Gastroenterology Associates Gastroenterology CurrentSince Dec 1, 2000 Accepting new patients
Salida Hospital District CurrentSince Apr 1, 2016 Accepting new patients
Salida Hospital District CurrentSince Apr 1, 2016 Accepting new patients
Trinidad Area Health Association CurrentSince Nov 1, 2018 Accepting new patients
Trinidad Area Health Association CurrentSince Nov 1, 2018 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Sep 28, 2015 Accepting new patients
Salida Hospital District Current Accepting new patients
Surgical Center of Peak Endoscopy, LLC CurrentSince Apr 13, 2015 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Trinidad Area Health Association Current Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2352 Meadows Blvd
Ste 300
Castle Rock, CO 80109
Phone (303) 744-1961

4050 Briargate Pkwy
Ste A2115
Colorado Springs, CO 80920
Phone (719) 365-5543

1615 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 635-7740

2920 N Cascade Ave
Fl 1
Colorado Springs, CO 80907
Phone (719) 362-2300

2920 N Cascade Ave
Ste 300
Colorado Springs, CO 80907

1400 E Boulder St
Ste 1722
Colorado Springs, CO 80909
Phone (719) 364-3640

2920 N Cascade Ave
#P
Colorado Springs, CO 80907

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

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

1370 Interquest Pkwy
Ste 320
Colorado Springs, CO 80921

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

2535 S Downing St
Ste 410
Denver, CO 80210
Phone (303) 260-2740

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9403 Crown Crest Blvd
Ste 420
Parker, CO 80138
Phone (303) 925-4720

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

550 W US Highway 50
Salida, CO 81201
Phone (719) 530-2014

410 Benedicta Ave
Trinidad, CO 81082
Phone (719) 846-8051

16222 W US Highway 24
Ste 210
Woodland Park, CO 80863
Phone (719) 686-2832

Networks

  • CO HMO

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1053415463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "STE 301",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076265",
            "telephone_number": "719-636-1201",
            "fax_number": "719-636-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 N CASCADE AVE",
            "address_2": "STE 301",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076265",
            "telephone_number": "719-636-1201",
            "fax_number": "719-636-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "BHAKTASHARAN",
        "middle_name": "CHIMANBHAI",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CO",
            "license": "32410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01324102",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1048080",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.