NPIMap

Individual provider Active NPI

Mohammad Fateh Shahzad, M.D.

  • Internal Medicine Physician
  • Danville, KY
National Provider Identifier
1609830462
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33429 Issued in KY
Practice address
105 Ponder CT
Suite 104
Danville, KY 40422-9050
Phone
(859) 236-4216
Fax
(859) 238-9760
NPI assigned
Apr 17, 2006
Last updated
Jul 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33429 KY Primary

Addresses

Primary practice location

105 Ponder CT
Suite 104
Danville, KY 40422-9050

Mailing address

105 Ponder CT
Suite 104
Danville, KY 40422-9050
Phone (859) 236-4216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100803000372 KY Practitioner - Internal Medicine 7012001985 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 Ponder CT
Suite 104
Danville, KY 40422-9050
Phone (859) 236-4216

217 S 3Rd St
Danville, KY 40422-1823
Phone (859) 239-2318

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33429KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Pathology Associates PLLP Current Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Jan 1, 2020 Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated CurrentSince Apr 1, 2000 Accepting new patients
The James B. Haggin Memorial Hospital Inc. Internal Medicine CurrentSince Jun 23, 2014 Accepting new patients
Ephraim McDowell Health Resource, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Jun 23, 2014 Accepting new patients
The James B. Haggin Memorial Hospital Inc Internal Medicine Current Accepting new patients
Ephraim McDowell Regional Medical Center, Incorporated CurrentSince Apr 1, 2000 Accepting new patients
Emhfl, Inc Past Accepting new patients
Ephraim McDowell Health Resource, Inc Internal Medicine Past Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients
The James B. Haggin Memorial Hospital Inc Past Accepting new patients
Emhfl, Inc. Past Accepting new patients

Locations

105 Ponder Ct
Ste 104
Danville, KY 40422
Phone (859) 236-4216

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

478 Whirlaway Dr
#200
Danville, KY 40422
Phone (859) 236-3208

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

510 N Camp Dick Rd
Lancaster, KY 40444
Phone (859) 548-8000

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

5130 Parkway Plaza Blvd
Charlotte, NC 28217

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1609830462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PONDER CT",
            "address_2": "SUITE 104",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229050",
            "telephone_number": "859-236-4216",
            "fax_number": "859-238-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PONDER CT",
            "address_2": "SUITE 104",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404229050",
            "telephone_number": "859-236-4216",
            "fax_number": "859-238-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHZAD",
        "first_name": "MOHAMMAD",
        "middle_name": "FATEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "33429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.