Active NPI
Anurag D Tiwary, M.D.
- Surgery Physician
- Hudson, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 83687
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 372631200 | Medicaid | FL | |
| P00747066 | Other | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0062882 | FL | MD | Surgery Physician |
| MD2005-0136 | NM | MD | Trauma Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Wuesthoff Memorial Hospital Inc | Past | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients | |
| Pinellas Surgical Associates, Inc | Past | 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
- 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.
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Specialist
- St Petersburg, FL
- NPI 1851386098
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Rockledge, FL
- NPI 1164685756
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wellstar Douglas Hospital
- General Acute Care Hospital
- Douglasville, GA
- NPI 1649247974
-
dba Wellstar Paulding Hospital
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
-
dba WellStar Spalding Regional Hospital
- General Acute Care Hospital
- Griffin, GA
- NPI 1972535318
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.