Individual provider Active NPI

Shaheen Ahmed, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Overland, KS
National Provider Identifier
1487616405
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
04-18800 Issued in KS
Practice address
10730 Nall Ave
Suite #102
Overland, KS 66211-1206
Phone
(913) 341-6297
Fax
(913) 341-6299
NPI assigned
Apr 5, 2006
Last updated
Aug 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 04-18800 KS
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01093070A IN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X C3836 KY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 04-18800 KS Primary

Addresses

Primary practice location

10730 Nall Ave
Suite #102
Overland, KS 66211-1206

Mailing address

PO Box 52990
Greenwood, SC 29649-0048
Phone (864) 223-3600

Other practice location 1

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1264

Other practice location 2

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (260) 435-2856

Other identifiers 3

IdentifierTypeStateIssuer
100152910BMedicaidKS
100152910CMedicaidKS
206851313MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, IN, KY, TN4 enrollments
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.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20050916000950 KS Practitioner - Pathology 9234162470 Reassigns benefits to 1 organization
I20250829003172 IN Practitioner - Pathology 9234162470 Reassigns benefits to 1 organization
I20250904000300 KY Practitioner - Pathology 9234162470 Reassigns benefits to 1 organization
I20251022000145 TN Practitioner - Pathology 9234162470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Pathologists, LLCGroup PAC ID 0648167544, 137 clinicians

Practice addresses (Care Compare)

1010 Airpark Ctr Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

250 Park St
Bowling Green, KY 42101-1760
Phone (270) 745-1000

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Phone (417) 502-3840

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4160
Phone (615) 221-4447

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-18800KSMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Pathologists, LLC Cytopathology CurrentSince Jun 23, 2025 Accepting new patients
Associated Pathologists LLC Past Accepting new patients
Mid America Pathology Laboratory LLC Past Accepting new patients

Locations

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

401 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (620) 223-2200

1201 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 231-0204

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

250 Park St
Bowling Green, KY 42101
Phone (270) 745-1000

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

5301 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 695-4977

1010 Airpark Center Dr
Nashville, TN 37217
Phone (615) 221-4447

Organizations & group practices 3

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 5

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1487616405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52990",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296490048",
            "telephone_number": "864-223-3600",
            "fax_number": "864-223-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 NALL AVE",
            "address_2": "SUITE #102",
            "city": "OVERLAND",
            "state": "KS",
            "postal_code": "662111206",
            "telephone_number": "913-341-6297",
            "fax_number": "913-341-6299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Park St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421011760",
            "country_code": "US",
            "telephone_number": "270-745-1264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7950 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044140",
            "country_code": "US",
            "telephone_number": "260-435-2856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SHAHEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "KS",
            "license": "04-18800",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01093070A",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KY",
            "license": "C3836",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "KS",
            "license": "04-18800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100152910B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100152910C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206851313",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland, KS

Sources for this page

Verify at the official NPI Registry.