Naresh Kumar Ahuja, MD
Individual provider Active NPI Surgery Physician · Mount Vernon, IL
NPI 1013174598 · NPPES record last updated Aug 4, 2026
Key facts
- NPI
- 1013174598
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 036124910 (IL)
- Practice address
- 4230 Lincolnshire Dr Ste a
Mount Vernon, IL 62864-2189 - Phone
- (618) 315-6466
- Fax
- (618) 315-6469
- NPI assigned
- May 21, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physician Services Corporation of Southern Illinois Inc
Ahuja Bariatric and Beyond
Practice addresses (Care Compare)
2 Good Samaritan Way
Suite 235
Mount Vernon, IL 62864-2476
Phone (618) 899-3970
4230 Lincolnshire Dr
Suite a
Mount Vernon, IL 62864-2189
Phone (618) 315-6466
Hospital & facility affiliations
- Herrin Hospital
- Good Samaritan Regional HLTH Center
- Sarah Bush Lincoln Health Center
- Memorial Hospital of Carbondale
- Harrisburg Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 34 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 64 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100720000005 | IL | Practitioner - General Surgery | 9830263870 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036124910 | IL | MD | Surgery Physician |
| MD434356 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahuja Bariatric & Beyond | Surgery | Current |
Accepting new patients |
| St. Mary'S Hospital, Centralia, Illinois | Current |
Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Surgery | Current |
Accepting new patients |
| St. Mary'S Hospital, Centralia, Illinois | Current |
Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Lawrence County Memorial Hospital | Current | Accepting new patients | |
| Southern Illinois Hospital Services | Past |
Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000
4501 W Deyoung St
Ste 108
Marion, IL 62959
2 Good Samaritan Way
Ste 235
Mount Vernon, IL 62864
Phone (618) 899-3970
2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869
4230 Lincolnshire Dr
Ste A
Mount Vernon, IL 62864
Phone (618) 244-6222
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044
Interoperability endpoints
- nahuja@yourcarecommunity.org
- nahuja310660@direct-ehr-ssmhc.com
- naresh.ahuja.1@27782.direct.athenahealth.com
- support@abariatric.com
- nareshahuja.advancedmd-direct.com@153356.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036124910 | IL | Yes |
| Surgery Physician | 208600000X | MD434356 | PA |
Addresses
Primary practice location
4230 Lincolnshire Dr Ste a
Mount Vernon, IL 62864-2189
Mailing address
PO Box 675
Mount Vernon, IL 62864-0014
Phone (618) 315-6466
Other practice location 1
404 Lincoln Dr
Herrin, IL 62948-3789
Phone (618) 993-0056
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 721089 | Other | IL | AETNA |
| 3932056 | Other | IL | BCBS |
| 036124910 | Medicaid | IL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nahuja7284@sih.direct-ci.com | ||
| Direct Messaging Address | SUPPORT@ABARIATRIC.COM | Direct |
Other providers in Mount Vernon, IL
- Advanced Surgical Technology, LLC
- Advanced Urologic Surgeons PC
- After Hours Immediate Care LLC
- Joon S Ahn
- Ahuja Bariatric & Beyond
- Reno Kumari Ahuja
- Air Evac EMS Inc
- Air Evac EMS, Inc.
- Iqbal M Akhter
- Mohammed Al-Zoubaidi
All providers in Mount Vernon, IL · Surgery Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.