Individual provider Active NPI

Girish Vasant Ghade, M.D

  • Internal Medicine Physician
  • Saint Augustine, FL
National Provider Identifier
1619084761
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01060057A Issued in IN
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

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ME 107681FLMDInternal Medicine Physician
01060057AINMDInternal 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.

Verify at the official NPI Registry.