NPIMap

Individual provider Active NPI

Syed Mustafa Shahkhan, MD

  • Neurology Physician
  • Bloomington, MN
National Provider Identifier
1144422544
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
50338 Issued in MN
Practice address
3601 Minnesota Dr Ste 200
Bloomington, MN 55435-5281
Phone
(612) 879-1000
Fax
(612) 879-9116
NPI assigned
Jun 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008X 50338 MN
Clinical Neurophysiology Physician 2084N0600X 50338 MN
Neurology Physician 2084N0400X 50338 MN Primary

Addresses

Primary practice location

3601 Minnesota Dr Ste 200
Bloomington, MN 55435-5281

Mailing address

2828 Chicago Avenue
Suite 200
Minneapolis, MN 55407
Phone (612) 879-1000

Other identifiers 1

IdentifierTypeStateIssuer
BP1-0026443OtherINSTITUTIONAL PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081021000541 MN Practitioner - Neurology 6800954769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noran Neurological Clinic, P.a.Group PAC ID 3971497389, 54 clinicians

Practice addresses (Care Compare)

11091 Ulysses St NE
Suite 100
Blaine, MN 55434-4238
Phone (612) 879-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Jan 1, 2012 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Jan 1, 2012 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Feb 1, 2011 Accepting new patients
Quest Diagnostics LLC Il PastSince Feb 1, 2011 Accepting new patients

Locations

11091 Ulysses St NE
Ste 100
Blaine, MN 55434
Phone (763) 783-3377

8515 Eagle Point Blvd
Ste 100
Lake Elmo, MN 55042
Phone (651) 259-9501

902 E 26th St
#1700
Minneapolis, MN 55404
Phone (612) 863-4502

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone (612) 879-1502

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

Interoperability endpoints

  • Direct secure messaging: syedshahkhan@direct.noranclinic.com

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 and National Provider Directory roles.

Hospital & facility affiliations 51

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1144422544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 CHICAGO AVENUE",
            "address_2": "SUITE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 MINNESOTA DR STE 200",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554355281",
            "telephone_number": "612-879-1000",
            "fax_number": "612-879-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHKHAN",
        "first_name": "SYED",
        "middle_name": "MUSTAFA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "MN",
            "license": "50338",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MN",
            "license": "50338",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MN",
            "license": "50338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSTITUTIONAL PERMIT",
            "identifier": "BP1-0026443",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.