Prabhat Ahluwalia, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Little Falls, NY
NPI 1497744635 · NPPES record last updated Apr 8, 2016
Key facts
- NPI
- 1497744635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 154104-1 (NY)
- Practice address
- 140 Burwell St
Little Falls, NY 13365-1725 - Phone
- (315) 823-1111
- Fax
- (315) 823-1295
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
140 Burwell St
Little Falls, NY 13365-1725
Phone (315) 823-1111
Hospital & facility affiliations
- Wynn Hospital
- Little Falls Hospital
- Rome Memorial Hospital, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of the uterus | 17 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041220000116 | NY | Practitioner - Obstetrics/Gynecology | 8921099748 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154104-1 | NY | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- prabhat.ahluwalia@cnyadvancedgynecology.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 154104-1 | NY | Yes |
Addresses
Primary practice location
140 Burwell St
Little Falls, NY 13365-1725
Mailing address
PO Box 1023
Little Falls, NY 13365-1023
Phone (315) 525-3588
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00774910 | Medicaid | NY |
Other providers in Little Falls, NY
- A Mindful Practice LCSW PC
- John David Adame
- Afc Transport
- Olga Agarkov
- Joanne Amuso
- Lori Anderson
- Tara Lynn Arduini
- Jennifer Bacher
- Rose Marie Battisti
All providers in Little Falls, NY · Obstetrics & Gynecology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.