Individual provider Active NPI

Samir Kumar Ahuja, M.D.

  • Cardiovascular Disease Physician
  • Frederick, MD
National Provider Identifier
1679778658
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D67505 Issued in MD
Practice address
74 Thomas Johnson Dr
Frederick, MD 21702
Phone
(301) 694-9033
Fax
(301) 694-6204
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D67505 MD Primary

Addresses

Primary practice location

74 Thomas Johnson Dr
Frederick, MD 21702

Mailing address

74 Thomas Johnson Dr
Frederick, MD 21702-4501
Phone (301) 694-9033

Other practice location 1

6000 Executive Blvd
Suite 300
Rockville, MD 20852-3803
Phone (301) 468-8999

Other practice location 2

74 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 694-9033

Other identifiers 6

IdentifierTypeStateIssuer
P02147870OtherRAILROAD MEDICARE
4512429OtherCIGNA
7468287OtherAETNA
1459-0014OtherCAREFIRST
416960300MedicaidMD
696095OtherMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20080820000591 DC Practitioner - Cardiovascular Disease (Cardiology) 5496820730 Reassigns benefits to 1 organization
I20090605000521 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5496820730 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sherman Kahan, M.D., P.a.Group PAC ID 7012927759, 15 clinicians

Practice addresses (Care Compare)

74 Thomas Johnson Dr
Frederick, MD 21702-4501
Phone (301) 694-9033

Hospital & facility affiliations

  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005
  • Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009
  • Jefferson Medical Center Hospital, Ranson, WV, CCN 511319

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc CurrentSince Sep 19, 2018 Accepting new patients
Frederick Health Hospital Inc CurrentSince Sep 19, 2018 Accepting new patients
Sherman Kahan, MD, PA Cardiovascular Disease CurrentSince Jul 11, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

74 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 694-3200

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

Interoperability endpoints

  • Direct secure messaging: samir.ahuja@caof.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1679778658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 THOMAS JOHNSON DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024501",
            "telephone_number": "301-694-9033",
            "fax_number": "301-694-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 THOMAS JOHNSON DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-694-9033",
            "fax_number": "301-694-6204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Executive Blvd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208523803",
            "country_code": "US",
            "telephone_number": "301-468-8999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74 Thomas Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "21702",
            "country_code": "US",
            "telephone_number": "301-694-9033",
            "fax_number": "301-694-6204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHUJA",
        "first_name": "SAMIR",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D67505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P02147870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4512429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7468287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "1459-0014",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416960300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "696095",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.