NPIMap

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
Last updated
Dec 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

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

Addresses

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20120229000532 UT Practitioner - Endocrinology 0244259257 Reassigns benefits to 2 organizations

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

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 212
Provo, UT 84604
Phone (801) 357-7676

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

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "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.