Individual provider Active NPI

Shakil Ahmed, M.D

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1821094616
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K9476 Issued in TX
Practice address
6029 Belt Line Rd Ste 105
Dallas, TX 75254-7873
Phone
(972) 385-0000
Fax
(817) 666-3873
NPI assigned
Jun 26, 2005
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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 K9476 TX Primary

Addresses

Primary practice location

6029 Belt Line Rd Ste 105
Dallas, TX 75254-7873

Mailing address

820 W Arapaho Rd
Ste 200
Richardson, TX 75080-4065
Phone (972) 498-4500

Other identifiers 2

IdentifierTypeStateIssuer
042165305MedicaidTX
042165306MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060823000611 TX Practitioner - Internal Medicine 9436152832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Wellness ResourcesGroup PAC ID 6002296506, 37 clinicians

Practice addresses (Care Compare)

1625 N Grand Ave
Gainesville
Gainesville, TX 76240-2343
Phone (855) 893-5637

4004 Medical Pkwy
Greenville, TX 75401-7854
Phone (855) 893-5637

6029 Belt Line Rd
Suite 105
Dallas, TX 75254-7873
Phone (855) 893-5637

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K9476TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Jan 1, 2012 Accepting new patients
Access Wellness Resources Internal Medicine CurrentSince Jan 26, 2025 Accepting new patients
Medhealth Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
Richardson Physician Alliance Internal Medicine Past Accepting new patients

Locations

1305 Airport Fwy
Ste 405
Bedford, TX 76021
Phone (817) 595-4949

3400 W Wheatland Rd
Ste 360
Dallas, TX 75237

6029 Belt Line Rd
Ste 105
Dallas, TX 75254
Phone (972) 385-0000

2720 Western Center Blvd
Ste 312
Fort Worth, TX 76131
Phone (817) 847-0200

1625 N Grand Ave
Gainesville, TX 76240
Phone (940) 382-6757

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

1604 Lancaster Dr
Grapevine, TX 76051
Phone (817) 481-8661

4004 Medical Pkwy
Greenville, TX 75401
Phone (214) 771-3668

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

820 W Arapaho Rd
Ste 200
Richardson, TX 75080
Phone (972) 498-4500

710 E Anderson St
Ste 101
Weatherford, TX 76086
Phone (817) 489-5778

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4
  • Direct secure messaging: shakil.ahmed.1@27041.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1119744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1821094616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W ARAPAHO RD",
            "address_2": "STE 200",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804065",
            "telephone_number": "972-498-4500",
            "fax_number": "972-680-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 BELT LINE RD STE 105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547873",
            "telephone_number": "972-385-0000",
            "fax_number": "817-666-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SHAKIL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-26",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042165305",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042165306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.