Individual provider Active NPI

Adnan Ahmed, M.D.

  • Psychiatry Physician
  • Minnetonka, MN
National Provider Identifier
1063737153
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
55844 Issued in MN
Practice address
10201 Wayzata Blvd Ste 100
Minnetonka, MN 55305-1500
Phone
(952) 544-6806
Fax
(952) 545-0098
NPI assigned
Mar 31, 2010
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 55844 MN Primary

Addresses

Primary practice location

10201 Wayzata Blvd Ste 100
Minnetonka, MN 55305-1500

Mailing address

10201 Wayzata Blvd Ste 100
Minnetonka, MN 55305-1500
Phone (952) 544-6806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20130510000253 MN Practitioner - Psychiatry 4385881341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Choices Psychotherapy LTDGroup PAC ID 8426064338, 29 clinicians

Practice addresses (Care Compare)

10201 Wayzata Blvd
Suite 100
Minnetonka, MN 55305-1500
Phone (952) 544-6806

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Choices Psychotherapy, LTD. CurrentSince Aug 1, 2022 Accepting new patients
Fairview Health Services CurrentSince Oct 10, 2017 Accepting new patients
Fairview Express Care CurrentSince Oct 10, 2017 Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

2450 Riverside Ave
Ste F140
Minneapolis, MN 55454
Phone (651) 464-4847

606 24th Ave S
Ste 602
Minneapolis, MN 55454
Phone (612) 273-6099

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

10201 Wayzata Blvd
Ste 100
Minnetonka, MN 55305
Phone (952) 544-6806

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1063737153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 WAYZATA BLVD STE 100",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051500",
            "telephone_number": "952-544-6806",
            "fax_number": "952-545-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 WAYZATA BLVD STE 100",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051500",
            "telephone_number": "952-544-6806",
            "fax_number": "952-545-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "ADNAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-31",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "55844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.