Individual provider Active NPI

Shawn Ibrar Ahmed, MD, PHD

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1942443080
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0054114 Issued in CO
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Apr 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 9901A WY
Diagnostic Radiology Physician 2085R0202X 28004 NE
Vascular & Interventional Radiology Physician 2085R0204X DR.0054114 CO
Diagnostic Radiology Physician 2085R0202X DR.0054114 CO Primary

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20141222000160 CO Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6002058757 Reassigns benefits to 8 organizations
I20150429001746 WY Practitioner - Diagnostic Radiology 6002058757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Creighton University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Procedural ExpertsGroup PAC ID 1557761988, 2 clinicians
Diversified Radiology of Colorado IncGroup PAC ID 0143132316, 92 clinicians

Practice addresses (Care Compare)

1202 Cleveland Ave
Cheyenne, WY 82001-6700
Phone (970) 694-2650

1355 Riverside Ave
Suite D
Fort Collins, CO 80524-4366
Phone (970) 694-2650

1600 Prairie Ctr Pkwy
Brighton, CO 80601-4006
Phone (303) 914-8800

4567 E 9TH Ave
Denver, CO 80220-3908
Phone (303) 914-8800

9191 Grant St
Thornton, CO 80229-4361
Phone (303) 914-8800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.89 of 100Reported as group
Quality
75
Improvement activities
40
Cost
88.31

Merit-based Incentive Payment System (MIPS)

Final score
75.38 of 100Reported as group
Quality
55.42
Promoting interoperability
96
Improvement activities
40
Cost
65.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal539
Leg revascularization (restoring blood flow)78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28004NEMDDiagnostic Radiology Physician
9901AWYMDDiagnostic Radiology Physician
DR.0054114COMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Radiology of Colorado, Inc Diagnostic Radiology CurrentSince Nov 15, 2016 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 1, 2021 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Feb 1, 2021 Accepting new patients
Red River Consultants, Inc Diagnostic Radiology CurrentSince Mar 9, 2019 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Nov 1, 2017 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Spectrum Medical Imaging, LLC Diagnostic Radiology CurrentSince Jan 15, 2017 Accepting new patients
Orthopedic Centers of Colorado, LLC CurrentSince Sep 4, 2018 Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology PastSince Jan 15, 2017 Accepting new patients

Locations (25 of 55)

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

1746 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 716-3787

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

9395 Crown Crest Blvd
Parker, CO 80138
Phone (303) 269-4000

990 Wilkinson Trce
Ste 100
Bowling Green, KY 42103
Phone (270) 781-4043

1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454

746 Campbell Ln
Ste 101
Bowling Green, KY 42104
Phone (270) 843-9510

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

313 N Main St
Ashland City, TN 37015
Phone (615) 792-1911

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

1000 Health Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 886-4910

7402 Lee Hwy
Chattanooga, TN 37421
Phone (423) 242-9750

2205 McCallie Ave
Chattanooga, TN 37404
Phone (423) 508-6733

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

605 Glenwood Dr
Ste 200
Chattanooga, TN 37404
Phone (423) 698-1844

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

776 Weatherly Dr
Clarksville, TN 37043
Phone (931) 906-2004

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

101 Natchez Park Dr
Dickson, TN 37055
Phone (615) 326-2900

1511 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5555

941 Spring Creek Rd
East Ridge, TN 37412
Phone (423) 855-3255

5001 E Main St
Erin, TN 37061
Phone (336) 944-6420

4488 Carothers Pkwy
Ste 110
Franklin, TN 37067
Phone (615) 320-7387

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1240012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1942443080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "SHAWN",
        "middle_name": "IBRAR",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-18",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WY",
            "license": "9901A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "28004",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CO",
            "license": "DR.0054114",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0054114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.