Active NPI
Jitesh Ahuja, MD
- Diagnostic Radiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R4506
- Practice address
- 1515 Holcombe Blvd
Houston, TX 77030 - Phone
- (713) 792-6161
- NPI assigned
- Jul 17, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD60340415 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | R4506 | TX | Primary |
Addresses
Primary practice location
1515 Holcombe Blvd
Houston, TX 77030
Mailing address
PO Box 4439
Houston, TX 77210-4439
Phone (713) 792-2991
Other practice location 1
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200
Other practice location 2
222 15th Ave SE
Puyallup, WA 98372-3754
Phone (253) 841-4353
Other practice location 3
2502 S Union Ave
Tacoma, WA 98405-1328
Phone (253) 761-9482
Other practice location 4
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Phone (253) 761-4200
Other practice location 5
2202 S Cedar St Ste 200
Tacoma, WA 98405-2318
Phone (253) 761-4200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2029097 | Medicaid | WA | |
| 392716202 | Other | TX | CSHCN |
| 8KI877 | Other | TX | BCBS |
| 392716201 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 Holcombe Blvd
Houston, TX 77030-4000
Phone (713) 792-2121
Hospital & facility affiliations
- University of Texas M D Anderson Cancer Center
- Memorial Hermann Hospital System
- HCA Houston Healthcare Clear Lake
- Houston Methodist Willowbrook Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Quality
- 70.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Referral Service | Current | Accepting new patients |
Locations
1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446
1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446
1515 Holcombe Blvd
#M
Houston, TX 77030
Phone (713) 792-6127
Interoperability endpoints
- jahuja119539@utmdandersoncc.direct-ci.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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1073574810
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Webster, TX
- NPI 1063466035
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Houston, TX
- NPI 1871619254
-
- General Acute Care Hospital
- Houston, TX
- NPI 1174582050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1326336942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4439",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104439",
"telephone_number": "713-792-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-792-6161"
}
],
"practiceLocations": [
{
"address_1": "1304 Fawcett Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984021900",
"country_code": "US",
"telephone_number": "253-761-4200",
"fax_number": "253-761-4201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 15th Ave SE",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983723754",
"country_code": "US",
"telephone_number": "253-841-4353",
"fax_number": "253-583-8630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2502 S Union Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984051328",
"country_code": "US",
"telephone_number": "253-761-9482",
"fax_number": "253-759-6252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1304 Fawcett Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984021900",
"country_code": "US",
"telephone_number": "253-761-4200",
"fax_number": "253-761-4201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2202 S Cedar St Ste 200",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984052318",
"country_code": "US",
"telephone_number": "253-761-4200",
"fax_number": "253-761-4201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHUJA",
"first_name": "JITESH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-17",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD60340415",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "R4506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2029097",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN",
"identifier": "392716202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8KI877",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "392716201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.