Individual provider Active NPI

Shahzad Madanipour, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1295086247
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A149186 Issued in CA
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Sep 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A149186 CA Primary

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20181101001805 CA Practitioner - Diagnostic Radiology 9335492727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Medical Imaging Healthcare IncGroup PAC ID 0143311241, 59 clinicians

Practice addresses (Care Compare)

10230 Artesia Blvd
Suite 100
Bellflower, CA 90706-6763
Phone (562) 461-3400

1040 Elm Ave
Suite 102
Long Beach, CA 90813-3265
Phone (562) 285-1000

110 S la Brea Ave
Suite 150
Inglewood, CA 90301-8771
Phone (310) 671-6000

11411 Brookshire Ave
Suite 101
Downey, CA 90241-5008
Phone (562) 923-5521

12665 Garden Grove Blvd
Suite 103
Garden Grove, CA 92843-1915
Phone (714) 620-8200

1401 W Merced Ave
West Covina, CA 91790-3401

15825 Laguna Canyon Rd
Suite 101
Irvine, CA 92618-2126
Phone (949) 777-9000

1661 Golden Rain Rd
Seal Beach, CA 90740-4907
Phone (562) 795-6314

18250 Roscoe Blvd
Suite 135
Northridge, CA 91325-4263
Phone (818) 701-7111

24036 Lyons Ave
Newhall, CA 91321-2446
Phone (661) 255-2111

3513 Whittier Blvd
Los Angeles, CA 90023-1765
Phone (323) 262-1814

3737 Martin Luther King Jr Blvd
Suite 104
Lynwood, CA 90262-3520
Phone (310) 667-4999

380 W Central Ave
Suite 210
Brea, CA 92821-3066
Phone (714) 482-2121

4316 Slauson Ave
Maywood, CA 90270-2838
Phone (323) 771-9867

6131 Orangethorpe Ave
Suite 130
Buena Park, CA 90620-4905
Phone (714) 522-2077

800 N Tustin Ave
Suite M H
Santa Ana, CA 92705-3605
Phone (714) 450-1410

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A149186CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Imaging Healthcare, Inc. CurrentSince Oct 1, 2018 Accepting new patients
United Medical Imaging Healthcare, Inc. Current Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Fred Smeltzer MD & Associates Inc Diagnostic Radiology CurrentSince May 4, 2022 Accepting new patients
United Medical Imaging Healthcare Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Diagnostic Radiology Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients

Locations (25 of 29)

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

10230 Artesia Blvd
Ste 100
Bellflower, CA 90706
Phone (562) 461-2585

380 W Central Ave
Ste 210
Brea, CA 92821
Phone (714) 482-2121

6131 Orangethorpe Ave
Ste 130
Buena Park, CA 90620
Phone (714) 522-2077

11411 Brookshire Ave
Ste 101
Downey, CA 90241
Phone (562) 869-9192

12665 Garden Grove Blvd
Ste 103
Garden Grove, CA 92843
Phone (714) 620-8200

1141 W Redondo Beach Blvd
Ste 105
Gardena, CA 90247
Phone (310) 436-1730

1141 W Redondo Beach Blvd
Ste 307
Gardena, CA 90247
Phone (310) 715-6100

624 S Central Ave
Glendale, CA 91204
Phone (818) 241-3369

16161 Gothard St
Ste C
Huntington Beach, CA 92647
Phone (714) 843-6255

110 S La Brea Ave
Ste 150
Inglewood, CA 90301
Phone (310) 671-6000

15825 Laguna Canyon Rd
Ste 101
Irvine, CA 92618
Phone (949) 777-9000

701 E 28th St
Ste 318
Long Beach, CA 90806
Phone (562) 290-8888

1127 Wilshire Blvd
Ste 100
Los Angeles, CA 90017
Phone (213) 202-5785

2080 Century Park E
Ste 104
Los Angeles, CA 90067
Phone (310) 432-8000

3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814

4916 Whittier Blvd
Los Angeles, CA 90022
Phone (213) 596-8100

3737 Martin Luther King Jr Blvd
Ste 104
Lynwood, CA 90262
Phone (310) 667-4999

4316 Slauson Ave
Maywood, CA 90270
Phone (323) 771-9867

26522 La Alameda
Ste 170
Mission Viejo, CA 92691
Phone (949) 535-2100

26522 La Alameda
Ste 280
Mission Viejo, CA 92691
Phone (949) 643-3345

18250 Roscoe Blvd
Ste 135
Northridge, CA 91325
Phone (818) 701-7111

3501 S Harbor Blvd
Ste 140B
Santa Ana, CA 92704
Phone (714) 619-7888

800 N Tustin Ave
Ste M
Santa Ana, CA 92705
Phone (714) 285-0747

24036 Lyons Ave
Santa Clarita, CA 91321
Phone (661) 255-1015

Organizations & group practices 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1295086247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADANIPOUR",
        "first_name": "SHAHZAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-28",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A149186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.