Individual provider Active NPI

Gaurav Ahluwalia, MD

  • Internal Medicine Physician
  • New Smyrna Beach, FL
National Provider Identifier
1073990727
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME163253 Issued in FL
Practice address
401 Palmetto St
New Smyrna Beach, FL 32168-7322
Phone
(386) 206-5908
NPI assigned
May 1, 2015
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 296053 NY
Internal Medicine Physician 207R00000X ME163253 FL Primary

Addresses

Primary practice location

401 Palmetto St
New Smyrna Beach, FL 32168-7322

Mailing address

PO Box 945921
Atlanta, GA 30394-5921
Phone (386) 231-4529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 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
I20190304002505 NY Practitioner - Internal Medicine 0941549232 Reassigns benefits to 1 organization
I20230912002262 FL Practitioner - Internal Medicine 0941549232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians

Practice addresses (Care Compare)

401 Palmetto St
New Smyrna Beach, FL 32168-7322
Phone (386) 424-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME163253FLMDInternal Medicine Physician
296053NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Area Medical Associates, L.L.P. Internal Medicine CurrentSince Jun 1, 1997 Accepting new patients
Great Lakes Physician Practice PC Internal Medicine CurrentSince Jan 20, 2019 Accepting new patients
Florida Hospital Healthcare Partners, Inc Internal Medicine CurrentSince Sep 25, 2023 Accepting new patients

Locations

401 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 424-5000

1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000

901 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 206-5908

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

504 Central Ave
Dunkirk, NY 14048
Phone (716) 366-9008

15 S Main St
Ste 300
Jamestown, NY 14701
Phone (716) 488-1877

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: gahluwalia2037962@adventhealth.direct-ci.com

Organizations & group practices 3

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1073990727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 945921",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303945921",
            "telephone_number": "386-231-4529",
            "fax_number": "386-672-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PALMETTO ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687322",
            "telephone_number": "386-206-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLUWALIA",
        "first_name": "GAURAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-01",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "296053",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME163253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.