Individual provider Active NPI

Snehal Patel Reddy, M.D.

  • Family Medicine Physician
  • Parker, CO
National Provider Identifier
1053731497
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0059348 Issued in CO
Practice address
15720 Garden Plaza Dr
Parker, CO 80134-9103
Phone
(720) 644-9355
Fax
(720) 523-1654
NPI assigned
Apr 24, 2014
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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 DR.0059348 CO Primary

Addresses

Primary practice location

15720 Garden Plaza Dr
Parker, CO 80134-9103

Mailing address

5023 W 120TH Ave # 312
Broomfield, CO 80020-5606
Phone (720) 644-9355

Other practice location 1

1000 Houghton Ave
Saginaw, MI 48602-5303
Phone (989) 583-6800

Other practice location 2

12230 Lioness Way
Parker, CO 80134
Phone (720) 644-9355

Other practice location 3

5023 W 120th Ave Ste 312
Broomfield, CO 80020-5606
Phone (720) 644-9355

Other identifiers 1

IdentifierTypeStateIssuer
1053731497MedicaidCO

Other names 1

  • Dr. Snehal Patel Former 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
I20180524000601 CO Practitioner - Family Practice 1951692748 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Consultants PLLC CurrentSince Jun 1, 2018 Accepting new patients
Summit Medical Consultants Aco Prof LLC CurrentSince Aug 26, 2023 Accepting new patients
Careconnectmd Colorado Inc. Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Douglas Senior Associates, LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

5023 W 120th Ave
Broomfield, CO 80020
Phone (303) 644-9355

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

9250 E Costilla Ave
Ste 540
Greenwood Village, CO 80112

12230 Lioness Way
Parker, CO 80134
Phone (720) 214-7777

15720 Garden Plaza Dr
Parker, CO 80134
Phone (303) 805-2085

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
City Scape Rehabilitation & Care Center LLCDenver, CO, CCN 065387 Skilled nursing facility Adp of the SNF May 16, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1053731497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5023 W 120TH AVE # 312",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800205606",
            "telephone_number": "720-644-9355",
            "fax_number": "720-523-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 GARDEN PLAZA DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349103",
            "telephone_number": "720-644-9355",
            "fax_number": "720-523-1654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Houghton Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486025303",
            "country_code": "US",
            "telephone_number": "989-583-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12230 Lioness Way",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "80134",
            "country_code": "US",
            "telephone_number": "720-644-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5023 W 120th Ave Ste 312",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800205606",
            "country_code": "US",
            "telephone_number": "720-644-9355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SNEHAL",
        "middle_name": "PATEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0059348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053731497",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SNEHAL",
            "last_name": "PATEL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.