Individual provider Active NPI

Purshotham R Ginne, MD

  • Hospitalist Physician
  • Dyer, IN
National Provider Identifier
1255584397
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
01069830A Issued in IN
Practice address
24 Joliet St
Dyer, IN 46311-1705
Phone
(219) 865-2141
Fax
(219) 852-2502
NPI assigned
Nov 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Q7046 TX
Internal Medicine Physician 207R00000X 01069830A IN
Internal Medicine Physician 207R00000X 125.054775 IL
Internal Medicine Physician 207R00000X CDR.0002240 CO
Hospitalist Physician 208M00000X CDR.0002240 CO
Hospitalist Physician 208M00000X 01069830A IN Primary

Addresses

Primary practice location

24 Joliet St
Dyer, IN 46311-1705

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

1400 E Boulder St Ste 2508
Colorado Springs, CO 80909-5533
Phone (719) 365-1292

Other practice location 2

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701-5846
Phone (217) 383-3110

Other practice location 3

2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (720) 455-0655

Other identifiers 3

IdentifierTypeStateIssuer
Q7046OtherTXSTATE LICENSE
1255584397OtherTXNPI
CDR.0002240OtherCOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110819000522 IL Practitioner - Internal MedicinePractitioner - Hospitalist 2860662335 Reassigns benefits to 2 organizations
I20230630003217 CO Practitioner - HospitalistPractitioner - Internal Medicine 2860662335 Reassigns benefits to 3 organizations
I20250410001435 IN Practitioner - HospitalistPractitioner - Internal Medicine 2860662335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physicians PCGroup PAC ID 5698688141, 274 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
24 On Physician Partners PCGroup PAC ID 1557613130, 31 clinicians
Cook CountyGroup PAC ID 2860398088, 770 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

Practice addresses (Care Compare)

1100 E Norris Dr
Ottawa, IL 61350-1604
Phone (815) 431-5380

1400 E Boulder St
Suite 2508
Colorado Springs, CO 80909-5533
Phone (719) 365-6999

1500 S Lake Park Ave
Hobart, IN 46342-6638
Phone (219) 942-0551

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292

24 Joliet St
Dyer, IN 46311-1705
Phone (219) 864-2059

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.054775ILMDInternal Medicine Physician
Q7046TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Feb 1, 2024 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
Cook County Internal Medicine CurrentSince Jun 6, 2025 Accepting new patients
Franciscan Physician Network Internal Medicine CurrentSince Apr 20, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Apr 20, 2025 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jul 3, 2023 Accepting new patients
24 On Physician Partners, PC Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
Cook County CurrentSince Jun 6, 2025 Accepting new patients
Portercare Adventist Health System CurrentSince Feb 1, 2024 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist Current Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Cook County Current Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jul 3, 2023 Accepting new patients
Colorado Hospitalist Services, PLLC Hospitalist CurrentSince Jun 25, 2024 Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

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

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

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

1400 E Boulder St
Ste 2508
Colorado Springs, CO 80909
Phone (719) 365-1292

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

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

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

Interoperability endpoints

  • Direct secure messaging: pginne2548082@adventhealth.direct-ci.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1255584397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 JOLIET ST",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111705",
            "telephone_number": "219-865-2141",
            "fax_number": "219-852-2502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 E Boulder St Ste 2508",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095533",
            "country_code": "US",
            "telephone_number": "719-365-1292",
            "fax_number": "719-365-6997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Rosalind Redfern Grover Pkwy",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797015846",
            "country_code": "US",
            "telephone_number": "217-383-3110",
            "fax_number": "217-244-0621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Meadows Blvd",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801098405",
            "country_code": "US",
            "telephone_number": "720-455-0655",
            "fax_number": "720-455-0065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINNE",
        "first_name": "PURSHOTHAM",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-03",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q7046",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01069830A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.054775",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "CDR.0002240",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "CDR.0002240",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01069830A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "Q7046",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255584397",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CDR.0002240",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.