Active NPI
Girish Vasant Ghade, M.D
- Internal Medicine Physician
- Saint Augustine, FL
National Provider Identifier
1619084761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01060057A
- Practice address
- 100 Deerfield Preserve Blvd
Saint Augustine, FL 32086-5966 - Phone
- (386) 871-0829
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME 107681 | FL | |
| Internal Medicine Physician | 207R00000X | 01060057A | IN | Primary |
Addresses
Primary practice location
100 Deerfield Preserve Blvd
Saint Augustine, FL 32086-5966
Mailing address
PO Box 730096
Ormond Beach, FL 32173-0096
Phone (386) 506-8910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 107681 | FL | MD | Internal Medicine Physician |
| 01060057A | IN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1619084761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 730096",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321730096",
"telephone_number": "386-506-8910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DEERFIELD PRESERVE BLVD",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320865966",
"telephone_number": "386-871-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHADE",
"first_name": "GIRISH",
"middle_name": "VASANT",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME 107681",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01060057A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.