Active NPI
Shashi K Ahuja, M.D.
- Cardiovascular Disease Physician
- Fort Wayne, IN
National Provider Identifier
1548379191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01027373A
- Practice address
- 800 Broadway
Suite 300
Fort Wayne, IN 46802-2149 - Phone
- (260) 425-3133
- Fax
- (260) 425-3110
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 01027373A | IN | Primary |
Addresses
Primary practice location
800 Broadway
Suite 300
Fort Wayne, IN 46802-2149
Mailing address
800 Broadway Ste 300
Fort Wayne, IN 46802-2149
Phone (260) 425-3133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100054800A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01027373A | IN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shashi K Ahuja M.D. | Cardiovascular Disease | Past | Accepting new patients |
| Allen County Cardiology LLC | Cardiovascular Disease | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72187
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1316119316
-
- Cardiovascular Disease Physician
- Ft Wayne, IN
- NPI 1427276773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1548379191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BROADWAY STE 300",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468022149",
"telephone_number": "260-425-3133",
"fax_number": "260-425-3110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BROADWAY",
"address_2": "SUITE 300",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468022149",
"telephone_number": "260-425-3133",
"fax_number": "260-425-3110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHUJA",
"first_name": "SHASHI",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01027373A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100054800A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.