Ashok Kumar Ahuja, MD
Individual provider Active NPI Internal Medicine Physician · Centreville, VA
NPI 1508048778 · NPPES record last updated Nov 29, 2007
Key facts
- NPI
- 1508048778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- D0065469 (MD)
- Practice address
- 13533 Ann Grigsby Cir
Centreville, VA 20120-2625 - Phone
- (703) 988-9691
- NPI assigned
- Nov 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- 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 |
|---|---|---|---|---|
| I20220714004201 | MD | Practitioner - Internal Medicine |
7113312356 | Reassigns benefits to 2 organizations |
| I20220714004228 | DC | Practitioner - Internal Medicine |
7113312356 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0065469 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mdics Rehabilitative Services - Ltcaco LLC | Internal Medicine | Current |
Accepting new patients |
Locations
3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535
121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133
2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0065469 | MD | Yes |
Addresses
Primary practice location
13533 Ann Grigsby Cir
Centreville, VA 20120-2625
Mailing address
13533 Ann Grigsby Cir
Centreville, VA 20120-2625
Phone (703) 988-9691
Other providers in Centreville, VA
- Advanced Practice Anesthesia, LLC
- Advanced Women'S Health Care, P.C.
- Agnes Home Healthcare LLC
- Mubashra Ahmad
- Shazia Iram Ahmad
- Margaret Aiello
- Anmar Al-Janabi
- Thamer Alanazi
- Alda Medispa LLC
- Mercedes Helena Alfaro
All providers in Centreville, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2007. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.