DR. MAHKAMEH GHADIMI TRACY (MD) – Family Medicine Physician, NPI 1669634739

DR. MAHKAMEH GHADIMI TRACY (MD) is a healthcare provider. based in Castle pines, Colorado. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. DR.0050393 (CO). The NPI Number for DR. MAHKAMEH GHADIMI TRACY (MD) is 1669634739

Main info

Female
15 Years Of Experience
Name
DR. MAHKAMEH GHADIMI TRACY (MD)
NPI
1669634739
Phone
(303) 669-4838
Address
868 BRAMBLEWOOD DR
Enumeration Date
30 June 2008
Last Update Date
17 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7204880055
Graduation Year
2011 (15 years ago)
PAC ID
7416120910
Group Practice PAC ID
0042533242
Professional Enrollment ID
I20111028000139
Address ID
CO801224810CE5161XRDXX402
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

2,661 FAMILY PRACTICE in CO

Provider Addresses for DR. MAHKAMEH GHADIMI TRACY (MD)

  • 868 BRAMBLEWOOD DR

    CASTLE PINES, CO 801083641

    Phone: (303) 669-4838

    Type: Mailing

  • 10350 E DAKOTA AVE

    DENVER, CO 802471314

    Phone:

    Type: Mailing

  • 4318 TRAIL BOSS DR STE 100

    CASTLE ROCK, CO 801047512

    Phone: (303) 338-4545

    Type: Location

  • Cottonwood Drive, Parker, Douglas County, Colorado, 80138, United States

    PARKER, CO 801343949

    Phone: (303) 205-6899

    Fax: (303) 205-6897

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $1,078.

Total Amount is formed as General ($1,078) + Research ($0) + Ownership ($0) = $1,078.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($209).

Total Amount

$1,078

General + Research + Ownership

Payments

43

Total payment records

General Amount

$1,078

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111028000139IFamily PracticeCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80108)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042533242View full group profile
NameSpecialtyState
Clinical PsychologistCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Nurse PractitionerCO
Physician AssistantCO
Physician AssistantCO
Nurse PractitionerCO
Nurse PractitionerCO
Internal MedicineCO

Reviews

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Frequently asked questions

How do payers reference DR. MAHKAMEH GHADIMI TRACY (MD)?
For DR. MAHKAMEH GHADIMI TRACY (MD), use NPI 1669634739 as the unique 10-digit identifier.
Is DR. MAHKAMEH GHADIMI TRACY (MD) still an active registrant?
DR. MAHKAMEH GHADIMI TRACY (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for DR. MAHKAMEH GHADIMI TRACY (MD)?
At a glance, DR. MAHKAMEH GHADIMI TRACY (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MAHKAMEH GHADIMI TRACY (MD)?
Travel planning: use Castle Pines, Colorado as the reference point for DR. MAHKAMEH GHADIMI TRACY (MD), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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