Individual provider Active NPI

Shahbaz Ahmad, M.D.

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1003134479
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P1156 Issued in TX
Practice address
425 Old Newman Rd Ste 402
Frisco, TX 75036-8184
Phone
(972) 499-5551
Fax
(972) 499-9150
NPI assigned
May 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 259020 NY
Infectious Disease Physician 207RI0200X P1156 TX
Internal Medicine Physician 207R00000X P1156 TX Primary

Addresses

Primary practice location

425 Old Newman Rd Ste 402
Frisco, TX 75036-8184

Mailing address

5570 FM 423 Ste 250 PMB#177
Frisco, TX 75036-8929
Phone (972) 499-5551

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shamad@direct.practicefusion.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120824000116 TX Practitioner - Internal MedicinePractitioner - Infectious Disease 5294982377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Infectious Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Id CareGroup PAC ID 5890076459, 2 clinicians

Practice addresses (Care Compare)

1111 Gallagher Dr
Sherman, TX 75090-1713
Phone (903) 870-4363

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651
  • JPS Health Network Hospital, Fort Worth, TX, CCN 450039
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259020NYMDInfectious Disease Physician
P1156TXMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Id Care Internal Medicine CurrentSince Sep 2, 2016 Accepting new patients
Fannin County Hospital Authority Past Accepting new patients

Locations

5570 FM 423
Ste 250
Frisco, TX 75036
Phone (210) 510-0632

425 Old Newman Rd
Ste 402
Frisco, TX 75036
Phone (972) 499-5551

Interoperability endpoints

  • Direct secure messaging: shamad@direct.practicefusion.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1003134479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 FM 423 STE 250 PMB#177",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368929",
            "telephone_number": "972-499-5551",
            "fax_number": "972-499-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 OLD NEWMAN RD STE 402",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750368184",
            "telephone_number": "972-499-5551",
            "fax_number": "972-499-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SHAHBAZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-11",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "259020",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "P1156",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shamad@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF or CVS",
            "address_1": "425 Old Newman Rd Ste 402",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750368184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.