Individual provider Active NPI

Raj S Ahluwalia, M.D.

  • Orthopaedic Surgery Physician
  • Van Nuys, CA
National Provider Identifier
1306992904
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A96910 Issued in CA
Practice address
15211 Vanowen St
Ste 207
Van Nuys, CA 91405-3621
Phone
(818) 392-8620
NPI assigned
Jan 26, 2007
Last updated
Jan 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A96910 CA
Orthopaedic Surgery Physician 207X00000X A96910 CA Primary

Addresses

Primary practice location

15211 Vanowen St
Ste 207
Van Nuys, CA 91405-3621

Mailing address

PO Box 101673
Suite 300
Pasadena, CA 91189-0001
Phone (818) 392-8620

Other identifiers 1

IdentifierTypeStateIssuer
A96910OtherCALICENSE

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
I20131108000367 CA Practitioner - Orthopedic Surgery 6103857677 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Temple University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14860 Roscoe Blvd
Suite 300
Panorama City, CA 91402-7902
Phone (818) 392-8620

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
46.85
Promoting interoperability
74
Improvement activities
40
Cost
71.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96910CAMDMental Health Counselor
217392MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
California Physician Consultants, PC Orthopaedic Surgery Past Accepting new patients
Elwood Paul Reid MD Inc Orthopaedic Surgery Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1306992904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101673",
            "address_2": "SUITE 300",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911890001",
            "telephone_number": "818-392-8620",
            "fax_number": "818-989-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15211 VANOWEN ST",
            "address_2": "STE 207",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053621",
            "telephone_number": "818-392-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLUWALIA",
        "first_name": "RAJ",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A96910",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A96910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A96910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.