PARESH SUBASHCHANDRA GHODGE (MD) – Sports Medicine (Family Medicine) Physician, NPI 1427158427

PARESH SUBASHCHANDRA GHODGE (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Sports Medicine (Family Medicine) Physician. They hold the professional credentials MD. They hold a License No. 52448 (MN). The NPI Number for PARESH SUBASHCHANDRA GHODGE (MD) is 1427158427

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
PARESH SUBASHCHANDRA GHODGE (MD)
NPI
1427158427
Phone
Not provided
Address
2925 CHICAGO AVE
Enumeration Date
22 September 2006
Last Update Date
10 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529469777
Graduation Year
2002 (24 years ago)
PAC ID
6608927512
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20091026000469

Contacts

Secure Messaging
pghodge103309@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for PARESH SUBASHCHANDRA GHODGE (MD)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone:

    Type: Mailing

  • West 78th Street, Cahill, Edina, Hennepin County, Minnesota, 55439, United States

    EDINA, MN 554392570

    Phone: (952) 946-9777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-10-26

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
I20091026000469IInternal MedicineMNTBD

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 55407)

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Provider's Procedures

PARESH SUBASHCHANDRA GHODGE (MD) performs procedures in Sports Medicine (Family Medicine) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMN20610Aspiration and/or injection of large joint or joint capsule6358

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: 4587573613View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for PARESH SUBASHCHANDRA GHODGE (MD)?
PARESH SUBASHCHANDRA GHODGE (MD) — NPI 1427158427 — is the standard way to identify this listing.
Is PARESH SUBASHCHANDRA GHODGE (MD) still practicing?
PARESH SUBASHCHANDRA GHODGE (MD) is currently listed as active in the public NPI registry.
What is PARESH SUBASHCHANDRA GHODGE (MD)'s primary classification?
Sports Medicine (Family Medicine) Physician is the headline specialty for PARESH SUBASHCHANDRA GHODGE (MD) here. Clinical services aligned with this taxonomy classification.
Where is PARESH SUBASHCHANDRA GHODGE (MD) based?
PARESH SUBASHCHANDRA GHODGE (MD) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
Is the information about PARESH SUBASHCHANDRA GHODGE (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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