Active NPI
Shawn Ibrar Ahmed, MD, PHD
- Diagnostic Radiology Physician
- Eden Prairie, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DR.0054114
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WY
- 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
- Diagnostic Radiology
- Education
- Creighton University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Poudre Valley Hospital
- HCA Healthone Mountain Ridge
- Medical Center of the Rockies
- Cheyenne Regional Medical Center
- Ivinson Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.89 of 100
- Quality
- 75
- Improvement activities
- 40
- Cost
- 88.31
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.38 of 100
- Quality
- 55.42
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 65.85
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 539 |
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28004 | NE | MD | Diagnostic Radiology Physician |
| 9901A | WY | MD | Diagnostic Radiology Physician |
| DR.0054114 | CO | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Radiology of Colorado, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Red River Consultants, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Orthopedic Centers of Colorado, LLC | Current | Accepting new patients | |
| Spectrum Medical Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Orthopedic Centers of Colorado, LLC | Current | Accepting new patients | |
| Radiology Associates of Macon PC | Diagnostic Radiology | Past | 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
- 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.
-
- Vascular & Interventional Radiology Physician
- Fort Collins, CO
- NPI 1326632456
WY
-
- Diagnostic Radiology Physician
- Lakewood, CO
- NPI 1205923596
-
- Orthopaedic Surgery Physician
- Denver, CO
- NPI 1801339502
-
- Radiology Clinic/Center
- Brighton, CO
- NPI 1164881652
Diagnostic Radiology
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
-
- Orthopaedic Surgery Physician
- Superior, CO
- NPI 1336870856
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1679563035
Hospital & facility affiliations 24
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thornton, CO
- NPI 1821042979
-
- Rural Acute Care Hospital
- Laramie, WY
- NPI 1336289552
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1104262286
-
- General Acute Care Hospital
- Loveland, CO
- NPI 1750392304
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1780243055
-
- General Acute Care Hospital
- Cheyenne, WY
- NPI 1285621839
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1679419808
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1962158857
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.