NPIMap

Individual provider Active NPI

Mukesh K Ahluwalia, MD

  • Pulmonary Disease Physician
  • Mesa, AZ
National Provider Identifier
1417933946
Registry record updated Jan 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
51506 Issued in AZ
Practice address
3155 E Southern Ave Ste 201
Mesa, AZ 85204-5521
Phone
(480) 655-8040
Fax
(480) 655-1640
NPI assigned
Dec 16, 2005
Last updated
Jan 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 51506 AZ
Pulmonary Disease Physician 207RP1001X 036.080282 IL
Pulmonary Disease Physician 207RP1001X 51506 AZ Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 51506 AZ

Addresses

Primary practice location

3155 E Southern Ave Ste 201
Mesa, AZ 85204-5521

Mailing address

1400 E Golf Rd Ste 211
Des Plaines, IL 60016-8821
Phone (847) 376-8969

Other identifiers 2

IdentifierTypeStateIssuer
036089624MedicaidIL
213339MedicaidAZ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mahluwalia251017@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040922001030 IL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7719874007 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Respiratory, Critical Care and Sleep Specialists, LLCGroup PAC ID 8729302054, 9 clinicians

Practice addresses (Care Compare)

1400 E Golf Rd
Suite 201
Des Plaines, IL 60016-8821
Phone (847) 376-8969

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.080282ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Sep 1, 2013 Accepting new patients
Head & Neck Cosmetic Surgery Associates LLC CurrentSince Jan 1, 2022 Accepting new patients
Respiratory, Critical Care and Sleep Specialists, LLC Internal Medicine CurrentSince Dec 30, 2014 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Sep 1, 2013 Accepting new patients
Advocate North Side Health Network Past Accepting new patients
American Home Visiting Physicians Past Accepting new patients
Advocate North Side Health Network Past Accepting new patients

Locations

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1301 E 47th St
Chicago, IL 60653
Phone (773) 493-8212

29373 Network Pl
Chicago, IL 60673

3000 N Halsted St
Ste 400
Chicago, IL 60657
Phone (773) 296-5500

5600 W Addison St
Ste 306
Chicago, IL 60634
Phone (773) 283-8664

5600 W Addison St
Ste 503
Chicago, IL 60634
Phone (773) 282-5299

1400 E Golf Rd
Ste 201
Des Plaines, IL 60016
Phone (847) 298-3338

1400 E Golf Rd
Ste 211
Des Plaines, IL 60016
Phone (847) 635-1005

3 Erie Ct
Ste 7010
Oak Park, IL 60302
Phone (708) 763-6731

8930 Gross Point Rd
Ste 700
Skokie, IL 60077
Phone (847) 966-8930

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEDDCA
  • Direct secure messaging: mahluwalia251017@direct.myadvocateaurora.org

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640995200000",
    "number": "1417933946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E GOLF RD STE 211",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600168821",
            "telephone_number": "847-376-8969",
            "fax_number": "773-283-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 E SOUTHERN AVE STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045521",
            "telephone_number": "480-655-8040",
            "fax_number": "480-655-1640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLUWALIA",
        "first_name": "MUKESH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "51506",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036.080282",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "51506",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "51506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089624",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213339",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mahluwalia251017@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1400 E Golf Rd Ste 211",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600168821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1400 E Golf Rd Ste 211",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600168821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.