Individual provider Active NPI

Shahzad Ahmad, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Salt Lake City, UT
National Provider Identifier
1467533950
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
8174316-1205 Issued in UT
Practice address
4465 S 900 E Ste 200
Salt Lake City, UT 84124-2695
Phone
(801) 871-8366
Fax
(801) 375-3810
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4465 S 900
Suite 200
Salt Lake City, UT 84124-2695
Phone (801) 871-8366

Hospital & facility affiliations

  • Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051
  • American Fork Hospital Hospital, American Fork, UT, CCN 460023
  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20120229000532 UT Practitioner - Endocrinology 0244259257 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8174316-1205UTMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thyroid Clinic LLC Endocrinology, Diabetes & Metabolism CurrentSince Nov 23, 2021 Accepting new patients
Peak ENT Associates Endocrinology, Diabetes & Metabolism CurrentSince Mar 19, 2012 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

11762 S State St
Ste 333
Draper, UT 84020
Phone (801) 654-3229

1055 N 300 W
Ste 303
Provo, UT 84604
Phone (801) 356-1300

1055 N 300 W
Ste 212
Provo, UT 84604
Phone (801) 357-7676

1055 N 300 W
Ste 401
Provo, UT 84604
Phone (801) 375-4646

4465 S 900 E
Ste 200
Salt Lake Cty, UT 84124
Phone (801) 266-2777

Interoperability endpoints

  • Direct secure messaging: shahzad.ahmad@1158.chartlogic.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 8174316-1205 UT Primary

Addresses

NPPES NPI Registry

Primary practice location

4465 S 900 E Ste 200
Salt Lake City, UT 84124-2695

Mailing address

PO Box 1409
Draper, UT 84020-1409
Phone (801) 871-8366

Other practice location 1

3000 N Triumph Blvd Ste 340
Lehi, UT 84043-4999
Phone (801) 871-8366

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2019.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1467533950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1409",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840201409",
            "telephone_number": "801-871-8366",
            "fax_number": "801-375-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 S 900 E STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242695",
            "telephone_number": "801-871-8366",
            "fax_number": "801-375-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Triumph Blvd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840434999",
            "country_code": "US",
            "telephone_number": "801-871-8366",
            "fax_number": "801-375-3810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMAD",
        "first_name": "SHAHZAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "UT",
            "license": "8174316-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.