Shahamah Ahmed, MD
Individual provider Active NPI Internal Medicine Physician · Ottawa, IL
NPI 1295430643 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1295430643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036181544 (IL)
- Practice address
- 1614 E Norris Dr
Ottawa, IL 61350-3681 - Phone
- (815) 433-1010
- NPI assigned
- Apr 4, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036181544 | IL | Yes |
Addresses
Primary practice location
1614 E Norris Dr
Ottawa, IL 61350-3681
Mailing address
1614 E Norris Dr
Ottawa, IL 61350-3681
Phone (815) 433-1010
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All providers in Ottawa, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.