Individual provider Active NPI

Deirdre N Grate, MD

  • Family Medicine Physician
  • Highlands Ranch, CO
National Provider Identifier
1710330774
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0062795 Issued in CO
Practice address
9331 S. Colorado Blvd
Suite 200
Highlands Ranch, CO 80126
Phone
(303) 471-4711
Fax
(303) 471-4767
NPI assigned
Jul 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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 LL39797 SC
Family Medicine Physician 207Q00000X DR.0062795 CO Primary

Addresses

Primary practice location

9331 S. Colorado Blvd
Suite 200
Highlands Ranch, CO 80126

Mailing address

9331 S. Colorado Blvd
Suite 200
Highlands Ranch, CO 80126
Phone (303) 471-4711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220811002888 CO Practitioner - Family Practice 7315297876 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0062795COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Family Care, PLLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

9331 S Colorado Blvd
Ste 200
Highlands Ranch, CO 80126
Phone (303) 471-4711

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1710330774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9331 S. COLORADO BLVD",
            "address_2": "SUITE 200",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80126",
            "telephone_number": "303-471-4711",
            "fax_number": "303-471-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9331 S. COLORADO BLVD",
            "address_2": "SUITE 200",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80126",
            "telephone_number": "303-471-4711",
            "fax_number": "303-471-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRATE",
        "first_name": "DEIRDRE",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "LL39797",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0062795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.