Active NPI
Shahab Ahmad, M.D
- Adolescent Medicine (Internal Medicine) Physician
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- K9713
- Practice address
- 2100 N.Collins Blvd
Suite 315
Richardson, TX 75080 - Phone
- (972) 235-2304
- Fax
- (972) 235-8442
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | K9713 | TX | Primary |
Addresses
Primary practice location
2100 N.Collins Blvd
Suite 315
Richardson, TX 75080
Mailing address
2100 N Collins Blvd
Suite 315
Richardson, TX 75080-2661
Phone (972) 235-2304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
399 W Campbell Rd
Suite 304
Richardson, TX 75080-3620
Phone (972) 235-2304
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| North Dallas Primary Care P.a | Current | Accepting new patients | |
| Avera McKennan | Current | Accepting new patients |
Locations
300 W 5th St
Miller, SD 57362
Phone (605) 853-0158
1325 S Cliff Ave
Sioux Falls, SD 57105
Phone (605) 322-5000
2100 N Collins Blvd
Ste 315
Richardson, TX 75080
Phone (972) 235-2304
399 W Campbell Rd
Ste 304
Richardson, TX 75080
Phone (972) 235-2304
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BABEAD/Endpoint/BABEAD
- shahab.ahmad@ndpc.eclinicaldirectplus.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.
-
- Internal Medicine Physician
- Richardson, TX
- NPI 1689861080
-
dba Avera McKennan Behavioral Health Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
- NPI 1699009944
-
dba Avera Interventional Radiology
- Diagnostic Radiology Physician
- Sioux Falls, SD
- NPI 1053680678
-
dba Avera McKennan Hospital and University Health Center
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1568460772
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
Inpatient rehabilitation facility
-
dba Medical City Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1699726406
-
dba Methodist Richardson Medical Center
- General Acute Care Hospital
- Richardson, TX
- NPI 1033165501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1558329979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 N COLLINS BLVD",
"address_2": "SUITE 315",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802661",
"telephone_number": "972-235-2304",
"fax_number": "972-235-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 N.COLLINS BLVD",
"address_2": "SUITE 315",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75080",
"telephone_number": "972-235-2304",
"fax_number": "972-235-8442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMAD",
"first_name": "SHAHAB",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "TX",
"license": "K9713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.