Ahuja Bariatric & Beyond

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

AHUJA BARIATRIC & BEYOND

Practice address

4230 Lincolnshire Dr Ste a
Mount Vernon, IL 62864-2189

Phone

(618) 315-6466

Fax

(618) 315-6469

NPI assigned

Jun 29, 2022

Last updated

Sep 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Naresh Ahuja, MDNPI 1013174598

Title

Member

Phone

(618) 242-2317

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Naresh Kumar Ahuja, MD

  • Surgery Physician
  • Mount Vernon, IL
  • NPI 1013174598
  Medicare reassignment Care Compare group NPD Authorized official
• Issa Abedmahmoud, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Herrin, IL
  • NPI 1528042975
  Medicare reassignment Care Compare group NPD
• Reno Kumari Ahuja, MD

  • Psychiatry Physician
  • Mount Vernon, IL
  • NPI 1619107968

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Kerry Lynn Pitchford, APRN, FNP-BC

  • Nurse Practitioner
  • Mount Vernon, IL
  • NPI 1205455763
  Medicare reassignment Care Compare group NPD
• Poorva Talapatra, M.ED., LCPC

  • Mental Health Counselor
  • Carbondale, IL
  • NPI 1013210194
  Medicare reassignment Care Compare group NPD
• Autumn Corina Wills, P.A.

  • Physician Assistant
  • Cape Girardeau, MO
  • NPI 1437286671

  IL

  Medicare reassignment Care Compare group
• Syed Ahmed Shah, M.D.

  • Neurology Physician
  • Centralia, IL
  • NPI 1508867300
  NPD

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1053043885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628640014",
            "telephone_number": "618-242-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 LINCOLNSHIRE DR STE A",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642189",
            "telephone_number": "618-315-6466",
            "fax_number": "618-315-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHUJA BARIATRIC & BEYOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "AHUJA",
        "authorized_official_first_name": "NARESH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "618-242-2317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Internal Medicine, LLC
• Advanced Surgical Technology, LLC (AST Primary Care MT Vernon)
• Advanced Urologic Surgeons PC
• After Hours Immediate Care LLC
• Joon S Ahn, M.D.
• Naresh Kumar Ahuja, MD
• Reno Kumari Ahuja, MD
• Air Evac EMS Inc (Air Evac Lifeteam)
• Air Evac EMS, Inc. (Air Evac Lifeteam)
• Iqbal M Akhter, M.D.

• Surgery Physician in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.