Individual provider Active NPI

Anurag D Tiwary, M.D.

  • Surgery Physician
  • Hudson, FL
National Provider Identifier
1164404620
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
83687 Issued in GA
Practice address
14000 Fivay Rd
Hudson, FL 34667-7103
Phone
(727) 861-0237
Fax
(727) 861-0278
NPI assigned
Nov 18, 2005
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME0062882 FL
Surgery Physician 208600000X 83687 GA Primary
Trauma Surgery Physician 2086S0127X MD2005-0136 NM

Addresses

Primary practice location

14000 Fivay Rd
Hudson, FL 34667-7103

Mailing address

10653 Earhart Dr
New Port Richey, FL 34654-5215
Phone (727) 346-6489

Other practice location 1

4904 Timber Ridge Dr Ste 104
Douglasville, GA 30135
Phone (770) 942-4822

Other identifiers 2

IdentifierTypeStateIssuer
372631200MedicaidFL
P00747066OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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
I20040419000205 FL Practitioner - General Surgery 5597750604
I20190808002475 GA Practitioner - General Surgery 5597750604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, San Diego School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (470) 852-2301

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (770) 732-4022

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

601 S 8TH St
Griffin, GA 30224-4213
Phone (770) 228-2721

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (678) 838-2585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0062882FLMDSurgery Physician
MD2005-0136NMMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Current Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Jul 1, 2023 Accepting new patients
Wuesthoff Memorial Hospital Inc Past Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
Pinellas Surgical Associates, Inc PastSince Sep 1, 2013 Accepting new patients

Locations

4904 Timber Ridge Dr
Ste 104
Douglasville, GA 30135
Phone (770) 942-4822

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

150 Eagle Spring Ct
Ste A
Stockbridge, GA 30281
Phone (404) 299-3338

Interoperability endpoints

  • Direct secure messaging: atiwary341015@directwellstar.org

Organizations & group practices 5

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 3

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1164404620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10653 EARHART DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346545215",
            "telephone_number": "727-346-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 FIVAY RD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677103",
            "telephone_number": "727-861-0237",
            "fax_number": "727-861-0278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4904 Timber Ridge Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "30135",
            "country_code": "US",
            "telephone_number": "770-942-4822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIWARY",
        "first_name": "ANURAG",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0062882",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "83687",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NM",
            "license": "MD2005-0136",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372631200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00747066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

Verify at the official NPI Registry.