Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shahnawaz Ansari, MD

Individual provider Diagnostic Radiology Physician · NPI 1417324633

Dr. Shahnawaz Ansari, MD is a Diagnostic Radiology in San Bernardino, California. Qualified in 2013, 13 years ago. Practices with Riverside Radiology Medical Group Inc, a 27-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone: (909) 883-8711
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence PERMIT (NJ)

Record details

NPI number1417324633
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2015
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Riverside Radiology Medical Group Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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