NPIMap

Individual provider Active NPI

Ahmad Manshad

  • Cardiovascular Disease Physician
  • Maywood, IL
National Provider Identifier
1437500345
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036.148948 Issued in IL
Practice address
2160 S 1St Ave BLDG 110
Maywood, IL 60153-3328
Phone
(708) 216-5911
NPI assigned
Jun 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.068844 IL
Cardiovascular Disease Physician 207RC0000X DR.0068266 CO
Cardiovascular Disease Physician 207RC0000X 036.148948 IL Primary

Addresses

Primary practice location

2160 S 1St Ave BLDG 110
Maywood, IL 60153-3328

Mailing address

1653 W Congress Pkwy
Kellogg BLDG RM 1042
Chicago, IL 60612-3833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220719000923 CO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0042503146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of New Mexico School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, shared by 12 NPIs, 770 clinicians

Practice addresses (Care Compare)

1000 Southpark Dr
Littleton, CO 80120-5654
Phone (303) 744-1065

Hospital & facility affiliations

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
125.068844ILMDInternal Medicine Physician
036.148948ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Aug 1, 2022 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Portercare Adventist Health System CurrentSince Aug 1, 2022 Accepting new patients
Portercare Adventist Health System Cardiovascular Disease CurrentSince Aug 1, 2022 Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

2352 Meadows Blvd
Ste 115
Castle Rock, CO 80109

2535 S Downing St
Ste 460
Denver, CO 80210

500 E Hampden Ave
Ste 204
Englewood, CO 80113
Phone (303) 778-6527

425 S Cherry St
Ste 410
Glendale, CO 80246
Phone (303) 333-3388

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

1000 Southpark Dr
Littleton, CO 80120
Phone (303) 715-2245

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

9399 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 269-4410

2160 S 1st Ave
Bldg 110
Maywood, IL 60153
Phone (708) 327-2626

Interoperability endpoints

  • Direct secure messaging: amanshad102019@direct.luhs.org

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 12

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

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1437500345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "KELLOGG BLDG RM 1042",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE BLDG 110",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "708-216-5911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSHAD",
        "first_name": "AHMAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.068844",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "DR.0068266",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036.148948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.