Organization Active NPI

Michael Ahuja MD LLC

  • Physical Medicine & Rehabilitation Physician
  • Cape Coral, FL
National Provider Identifier
1700395407
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME126324 Issued in FL
Legal business name
MICHAEL AHUJA MD LLC
Practice address
1730 NE Pine Island Rd
Cape Coral, FL 33909-9999
Phone
(386) 846-4603
NPI assigned
Sep 25, 2017
Last updated
May 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Dr. Michael Ahuja, MDNPI 1013262708
Title
Physician
Phone
(386) 846-4603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X ME126324 FL Primary

Addresses

Primary practice location

1730 NE Pine Island Rd
Cape Coral, FL 33909-9999

Mailing address

PO Box 111329
Naples, FL 34108-0123
Phone (386) 846-4603

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171102001945 FL Part B Supplier - Clinic/Group Practice 5890051148 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Myers, FL; Naples, FL

National Provider Directory

National Provider Directory

Locations

6150 Medical Park Loop
Fort Myers, FL 33912
Phone (239) 722-3600

18865 State Road 54
Lutz, FL 33558
Phone (813) 413-6823

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1700395407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111329",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080123",
            "telephone_number": "386-846-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 NE PINE ISLAND RD",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339099999",
            "telephone_number": "386-846-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL AHUJA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "AHUJA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "386-846-4603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME126324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.