NPIMap

Individual provider Active NPI

Ashwini P. Gade, MD

  • Family Medicine Physician
  • Parker, CO
National Provider Identifier
1619109972
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RL11177 Issued in ND
Practice address
12230 Lioness Way
Parker, CO 80134-5603
Phone
(720) 644-9355
NPI assigned
Aug 19, 2009
Last updated
Nov 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 73300 MN
Family Medicine Physician 207Q00000X RL11177 ND Primary

Addresses

Primary practice location

12230 Lioness Way
Parker, CO 80134-5603

Mailing address

9250 E Costilla Ave Ste 540
Greenwood Village, CO 80112-3648
Phone (720) 644-9355

Other practice location 1

222 N 7th St
Bismarck, ND 58501-4436
Phone (701) 323-6000

Other practice location 2

1111 Highway 10 E
Detroit Lakes, MN 56501-4215
Phone (701) 356-1500

Other practice location 3

1701 38th St S Ste 101
Fargo, ND 58103-4499
Phone (701) 356-1500

Other identifiers 1

IdentifierTypeStateIssuer
12083MedicaidND

Other names 1

  • Ashwini P Tirthahalli Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agade4799077@direct.sanfordhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, CO, MN, NC4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20130603000219 ND Practitioner - Family Practice 6305084344 Reassigns benefits to 1 organization
I20240107000080 CO Practitioner - Family Practice 6305084344 Reassigns benefits to 2 organizations
I20250226000657 MN Practitioner - Family Practice 6305084344 Reassigns benefits to 1 organization
I20260204001672 NC Practitioner - Family Practice 6305084344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Consultants PLLCGroup PAC ID 0547589517, 78 clinicians

Practice addresses (Care Compare)

12230 Lioness Way
Parker, CO 80134-5603
Phone (720) 644-9355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
RL11177NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Consultants PLLC CurrentSince Jan 2, 2024 Accepting new patients
Summit Medical Carolinas PLLC CurrentSince Jan 19, 2026 Accepting new patients
Hospice of the Red River Valley Family Medicine CurrentSince Dec 20, 2024 Accepting new patients
Summit Medical Consultants Aco Prof LLC CurrentSince Jan 2, 2024 Accepting new patients
Careconnectmd Colorado Inc. Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Red River Valley Health Care PC PastSince Jun 23, 2025 Accepting new patients
Bijou Healthcare LLC Past Accepting new patients
Fountain View Rehabilitation and Nursing, LLC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

9250 E Costilla Ave
Ste 540
Greenwood Village, CO 80112
Phone (720) 591-4688

12230 Lioness Way
Parker, CO 80134
Phone (720) 214-7777

1111 Highway 10 E
Detroit Lakes, MN 56501
Phone (701) 356-1500

1415 Madison Ave
Detroit Lakes, MN 56501
Phone (218) 844-7119

8430 Rea Rd
Ste E
Charlotte, NC 28277
Phone (980) 443-6788

9935D Rea Rd
Charlotte, NC 28277
Phone (912) 401-9450

1985 Tate Blvd SE
Ste 5
Hickory, NC 28602
Phone (828) 238-0644

1701 38th St SW
Ste 101
Fargo, ND 58103
Phone (701) 356-1500

3800 56th Ave S
Fargo, ND 58104
Phone (701) 356-1500

Interoperability endpoints

  • Direct secure messaging: agade4799077@direct.sanfordhealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1619109972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 E COSTILLA AVE STE 540",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801123648",
            "telephone_number": "720-644-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 LIONESS WAY",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345603",
            "telephone_number": "720-644-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585014436",
            "country_code": "US",
            "telephone_number": "701-323-6000",
            "fax_number": "701-223-3411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Highway 10 E",
            "address_purpose": "LOCATION",
            "city": "Detroit Lakes",
            "state": "MN",
            "postal_code": "565014215",
            "country_code": "US",
            "telephone_number": "701-356-1500",
            "fax_number": "701-356-1596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 38th St S Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581034499",
            "country_code": "US",
            "telephone_number": "701-356-1500",
            "fax_number": "701-356-1596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADE",
        "first_name": "ASHWINI",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-19",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "73300",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "RL11177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12083",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agade4799077@direct.sanfordhealth.org",
            "affiliation": "N",
            "address_1": "222 N 7th St",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585014436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHWINI",
            "last_name": "TIRTHAHALLI",
            "middle_name": "P",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.