Individual provider Active NPI

Pramjeet Singh Ahluwalia, M.D

  • Internal Medicine Physician
  • Riverview, FL
National Provider Identifier
1619237948
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME121721 Issued in FL
Practice address
11922 Boyette Rd
Riverview, FL 33569-5601
Phone
(813) 553-3330
Fax
(915) 545-6634
NPI assigned
May 21, 2012
Last updated
Apr 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME121721 FL Primary

Addresses

Primary practice location

11922 Boyette Rd
Riverview, FL 33569-5601

Mailing address

11922 Boyette Rd
Riverview, FL 33569-5601
Phone (813) 553-3330

Other identifiers 1

IdentifierTypeStateIssuer
ME121721OtherFLSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150727001705 FL Practitioner - Internal Medicine 6406160019 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Incare Winterhaven LLCGroup PAC ID 2567874035, 2 clinicians

Practice addresses (Care Compare)

11922 Boyette Rd
Riverview, FL 33569-5601
Phone (646) 427-8803

603 6TH St NW
Winter Haven, FL 33881-4010
Phone (813) 553-3330

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Incare Winterhaven LLC CurrentSince Dec 1, 2020 Accepting new patients
Incare LLC Internal Medicine CurrentSince Feb 12, 2019 Accepting new patients
Advanced Care Hospitalists PL CurrentSince Jun 1, 2015 Accepting new patients
American Telestroke & Neurology Inc PastSince Apr 27, 2023 Accepting new patients

Locations

4315 Highland Park Blvd
Ste A
Lakeland, FL 33813
Phone (813) 651-1085

4315 Highland Park Blvd
Ste D
Lakeland, FL 33813
Phone (863) 816-5884

11922 Boyette Rd
Riverview, FL 33569
Phone (646) 427-8803

1213 N Franklin St
Tampa, FL 33602
Phone (813) 553-3330

603 6th St NW
Winter Haven, FL 33881
Phone (813) 553-3330

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDBHBD/Endpoint/BDBHBD

Organizations & group practices 5

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1619237948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11922 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695601",
            "telephone_number": "813-553-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11922 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695601",
            "telephone_number": "813-553-3330",
            "fax_number": "915-545-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLUWALIA",
        "first_name": "PRAMJEET",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME121721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME121721",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.