Individual provider Active NPI

Charanjit S Ahluwalia, MD

  • Internal Medicine Physician
  • Winter Park, FL
National Provider Identifier
1174540033
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 116573 Issued in FL
Practice address
1855 Hollywood Ave
Winter Park, FL 32789-4093
Phone
(407) 645-2334
Fax
(407) 647-5691
NPI assigned
Jul 16, 2006
Last updated
Sep 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 116573 FL Primary

Addresses

Primary practice location

1855 Hollywood Ave
Winter Park, FL 32789-4093

Mailing address

1855 Hollywood Ave
Winter Park, FL 32789-4093
Phone (407) 645-2334

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 116573FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Ohio Medical Serv. PastSince Oct 4, 1999 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: charanjit.ahluwalia@wpim.directbygreenway.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1174540033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 HOLLYWOOD AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894093",
            "telephone_number": "407-645-2334",
            "fax_number": "407-647-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 HOLLYWOOD AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894093",
            "telephone_number": "407-645-2334",
            "fax_number": "407-647-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLUWALIA",
        "first_name": "CHARANJIT",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 116573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.