Active NPI
Thrive Medical Group Inc
- Methadone Clinic
- Englewood, CO
National Provider Identifier
1194437814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250730003600 | CO | Part B Supplier - Opioid Treatment Program (Otp) | 6901313139 | Practice locations: Englewood, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2277788 | Thrive Medical Group | Certificate of waiver | Mar 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Englewood, CO
- NPI 1629947007
-
- Physician Assistant
- Denver, CO
- NPI 1962738401
-
- Internal Medicine Physician
- Denver, CO
- NPI 1013969104
-
- Addiction (Substance Use Disorder) Counselor
- Englewood, CO
- NPI 1114439585
-
- Physician Assistant
- Denver, CO
- NPI 1568786879
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.