Individual provider Active NPI

Amit Ahuja, M.D.

  • Gastroenterology Physician
  • Alexandria, LA
National Provider Identifier
1528061959
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
14040R Issued in LA
Practice address
201 4TH St Ste 3F
Alexandria, LA 71301-8421
Phone
(318) 685-4149
Fax
(318) 484-4738
NPI assigned
May 31, 2005
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 31052 MS
Gastroenterology Physician 207RG0100X 14040R LA Primary

Addresses

Primary practice location

201 4TH St Ste 3F
Alexandria, LA 71301-8421

Mailing address

7908 Batture Dr
Shreveport, LA 71115-2988
Phone (318) 617-3900

Other identifiers 1

IdentifierTypeStateIssuer
1044881MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040724000058 LA Practitioner - GastroenterologyPractitioner - Internal Medicine 1153301668 Reassigns benefits to 1 organization
I20230605002602 TX Practitioner - Gastroenterology 1153301668 Reassigns benefits to 1 organization
I20230828002537 MS Practitioner - Gastroenterology 1153301668 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Clinics, Inc CurrentSince Aug 1, 2023 Accepting new patients
Rapides Healthcare System, LLC CurrentSince Jun 17, 2016 Accepting new patients
Healthtexas Provider Network CurrentSince May 22, 2023 Accepting new patients
Rapides Healthcare System LLC Internal Medicine CurrentSince Jun 17, 2016 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince May 22, 2023 Accepting new patients
Rapides Healthcare System, LLC Current Accepting new patients
Healthtexas Provider Network Internal Medicine Current Accepting new patients
South Central Clinics, Inc Current Accepting new patients
South Central Clinics, Inc CurrentSince Aug 1, 2023 Accepting new patients
Willis Knighton Medical Center, Inc. PastSince Nov 1, 2005 Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

501 Medical Center Dr
Ste 1A
Alexandria, LA 71301
Phone (318) 442-5800

1203 B Ave
Ellisville, MS 39437
Phone (601) 477-8553

1203 Jefferson St
Laurel, MS 39440
Phone (601) 399-6367

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

2460 N Interstate Highway 35 E
Ste 225
Waxahachie, TX 75165
Phone (469) 800-9790

Interoperability endpoints

  • Direct secure messaging: amit.ahuja@hca9.eclinicaldirectplus.com
  • Direct secure messaging: telemed2u.amitahuja@160918.advancedmd-direct.com

Organizations & group practices 10

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1528061959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7908 BATTURE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152988",
            "telephone_number": "318-617-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 4TH ST STE 3F",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-685-4149",
            "fax_number": "318-484-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUJA",
        "first_name": "AMIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MS",
            "license": "31052",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "14040R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1044881",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.