Individual provider Active NPI

Amardeep Singh Ahluwalia, MD

  • Neonatal-Perinatal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1245328988
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
A92906 Issued in CA
Practice address
1020 29TH St Ste 480
Sacramento, CA 95816
Phone
(916) 887-0780
Fax
(916) 887-0786
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X A92906 CA Primary

Addresses

Primary practice location

1020 29TH St Ste 480
Sacramento, CA 95816

Mailing address

10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Phone (800) 470-0071

Other practice location 1

108 Locust Ave
Rockville Centre, NY 11570-3021
Phone (516) 330-8160

Other practice location 2

108 Locust Ave
Rockville Centre, NY 11570-3021
Phone (516) 330-8160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240822002781 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 1052311875

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92906CAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Medical Center Past Accepting new patients
Valley Children'S Medical Group Pediatrics Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aahluwalia422830@hisp.ehr.sutterhealth.org
  • Direct secure messaging: aahluwalia86876@valleychildrens-prd.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1245328988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 OLD PLACERVILLE RD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272539",
            "telephone_number": "800-470-0071",
            "fax_number": "916-503-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 29TH ST STE 480",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95816",
            "telephone_number": "916-887-0780",
            "fax_number": "916-887-0786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115703021",
            "country_code": "US",
            "telephone_number": "516-330-8160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Rockville Centre",
            "state": "NY",
            "postal_code": "115703021",
            "country_code": "US",
            "telephone_number": "516-330-8160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHLUWALIA",
        "first_name": "AMARDEEP",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "A92906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.