Individual provider Active NPI

Anmol Ahuja, MD

  • Family Medicine Physician
  • Tallassee, AL
National Provider Identifier
1083354468
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.47910 Issued in AL
Practice address
2256 Gilmer Ave
Tallassee, AL 36078-7114
Phone
(338) 283-2542
NPI assigned
Mar 31, 2022
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.47910 AL Primary

Addresses

Primary practice location

2256 Gilmer Ave
Tallassee, AL 36078-7114

Mailing address

2256 Gilmer Ave
Tallassee, AL 36078-7114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240502000166 AL Practitioner - Family Practice 0840678751 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivy Creek of Elmore LLCGroup PAC ID 8426075508, 99 clinicians

Practice addresses (Care Compare)

2256 Gilmer Ave
Tallassee, AL 36078-7114
Phone (334) 283-2542

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.47910ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wetumpka Urgent Care LLC CurrentSince Mar 10, 2024 Accepting new patients
Enterprise Urgent Care CurrentSince Mar 10, 2024 Accepting new patients
Chilton Family Care, LLC Family Medicine CurrentSince Mar 10, 2024 Accepting new patients
Ivy Creek of Elmore, LLC Family Medicine CurrentSince Oct 13, 2025 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Oct 13, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. PastSince Apr 1, 2022 Accepting new patients

Locations

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027

2256 Gilmer Ave
Tallassee, AL 36078
Phone (334) 283-2542

11 Cambridge Dr
Wetumpka, AL 36093
Phone (334) 514-3747

41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309

Interoperability endpoints

  • Direct secure messaging: ahuja.anmol@ict.direct.medconnecthealth.com

Organizations & group practices 6

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 1

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1083354468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360787114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 GILMER AVE",
            "city": "TALLASSEE",
            "state": "AL",
            "postal_code": "360787114",
            "telephone_number": "338-283-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUJA",
        "first_name": "ANMOL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.47910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallassee, AL

Sources for this page

Verify at the official NPI Registry.