Individual provider Active NPI

Shah Fahad, M.D.

  • Orthopaedic Surgery Physician
  • Denver, CO
National Provider Identifier
1245948033
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DR.73304 Issued in CO
Practice address
2535 S Downing St Ste 100
Denver, CO 80210-5848
Phone
(720) 524-1367
Fax
(720) 524-1422
NPI assigned
Nov 9, 2022
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X R-12346 IA
Orthopaedic Surgery Physician 207X00000X DR.73304 CO Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 9750 NE

Addresses

Primary practice location

2535 S Downing St Ste 100
Denver, CO 80210-5848

Mailing address

2535 S Downing St Ste 100
Denver, CO 80210-5848
Phone (720) 524-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241101000238 CO Practitioner - Orthopedic Surgery 9133581622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.73304COMDOrthopaedic Surgery Physician
R-12346IAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Sep 21, 2024 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Sep 21, 2024 Accepting new patients
Anesthesia Associates of the Front Range LLC Past Accepting new patients

Locations

2535 S Downing St
Ste 100
Denver, CO 80210
Phone (720) 524-1367

900 Hope Way
Forest City, FL 32714
Phone (407) 357-1255

Organizations & group practices 4

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": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1245948033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 S DOWNING ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105848",
            "telephone_number": "720-524-1367",
            "fax_number": "720-524-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 S DOWNING ST STE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105848",
            "telephone_number": "720-524-1367",
            "fax_number": "720-524-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHAD",
        "first_name": "SHAH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "R-12346",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.73304",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NE",
            "license": "9750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.