Individual provider Active NPI

Jaspal Ahluwalia, MD, MPH

  • Public Health & General Preventive Medicine Physician
  • Washington, DC
National Provider Identifier
1083891659
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
01064841A Issued in IN
Practice address
Comdt, Uscg HQ (CG-1122), US Coast Guard Stop 7907
Martin Luther King Jr Avenue SE
Washington, DC 20598
Phone
(703) 872-6629
NPI assigned
Jan 26, 2008
Last updated
Aug 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 01064841A IN
Public Health & General Preventive Medicine Physician 2083P0901X 01064841A IN Primary

Addresses

Primary practice location

Comdt, Uscg HQ (CG-1122), US Coast Guard Stop 7907
Martin Luther King Jr Avenue SE
Washington, DC 20598

Mailing address

4200 Wilson Blvd
950
Arlington, VA 20598-7198
Phone (703) 872-6629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01064841AINMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1201305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1083891659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 WILSON BLVD",
            "address_2": "950",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "205987198",
            "telephone_number": "703-872-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMDT, USCG HQ (CG-1122), US COAST GUARD STOP 7907",
            "address_2": "MARTIN LUTHER KING JR AVENUE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20598",
            "telephone_number": "703-872-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLUWALIA",
        "first_name": "JASPAL",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-26",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "IN",
            "license": "01064841A",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IN",
            "license": "01064841A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.