Organization Active NPI

Thrive Medical Group Inc

  • Methadone Clinic
  • Englewood, CO
National Provider Identifier
1194437814
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
THRIVE MEDICAL GROUP INC
Practice address
3601 S Broadway
Englewood, CO 80113-3610
Phone
(303) 658-0059
NPI assigned
Dec 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Solomon Bachayev
Title
Executive Director
Phone
(303) 658-0059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

3601 S Broadway
Englewood, CO 80113-3610

Mailing address

1487 S Kenton St
Aurora, CO 80012-4119

Other names 1

  • THRIVE BEHAVIORAL HEALTH AND RECOVERY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Opioid treatment program
Medicare-enrolled since Jun 1, 2025

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250730003600 CO Part B Supplier - Opioid Treatment Program (Otp) 6901313139 Practice locations: Englewood, CO

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
06D2277788Thrive Medical Group3601 S Broadway, Englewood, CO 80113Certificate of waiverMar 5, 2027

National Provider Directory

National Provider Directory

Locations

3601 S Broadway
Englewood, CO 80113
Phone (303) 658-0059

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1194437814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 S KENTON ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 S BROADWAY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801133610",
            "telephone_number": "303-658-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "BACHAYEV",
        "authorized_official_first_name": "SOLOMON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-658-0059"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THRIVE BEHAVIORAL HEALTH AND RECOVERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.