Active NPI
Shahzad Ahmad, MD
- Endocrinology, Diabetes & Metabolism Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 8174316-1205
- 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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Salt Lake City, UT
- NPI 1992298970
-
- Otolaryngology/Facial Plastic Surgery Physician
- Provo, UT
- NPI 1346489036
-
- Endocrinology, Diabetes & Metabolism Physician
- Provo, UT
- NPI 1003493933
NPD Endocrinology, Diabetes & Metabolism -
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Jordan, UT
- NPI 1801591391
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
Care Compare affiliation Hospital -
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1164469243
Care Compare affiliation Hospital
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
- American Fork Hospital
- St Mark'S Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8174316-1205 | UT | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thyroid Clinic LLC | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Peak ENT Associates | Endocrinology, Diabetes & Metabolism | Current | 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
- shahzad.ahmad@1158.chartlogic.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 8174316-1205 | UT | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.