Active NPI
Patrick Shahan, MD
- Family Medicine Physician
- Monument, CO
National Provider Identifier
1396785374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 28469
- Practice address
- 550 Highway 105
Monument, CO 80132-9125 - Phone
- (719) 488-9860
- Fax
- (719) 488-9868
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28469 | CA | Primary |
Addresses
Primary practice location
550 Highway 105
Monument, CO 80132-9125
Mailing address
550 Highway 105
Monument, CO 80132-9125
Phone (719) 488-9860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01284694 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1396785374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 HIGHWAY 105",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801329125",
"telephone_number": "719-488-9860",
"fax_number": "719-488-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 HIGHWAY 105",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801329125",
"telephone_number": "719-488-9860",
"fax_number": "719-488-9868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHAN",
"first_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "28469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01284694",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.