Active NPI
Nicholas Ahern, MD
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- New Orleans, LA
National Provider Identifier
1720723349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- License
- 8634665-1205
- Practice address
- 1430 Tulane Ave # 8016
New Orleans, LA 70112-2632 - Phone
- (504) 988-9963
- Fax
- (504) 988-9963
- NPI assigned
- Apr 28, 2022
- Last updated
- May 26, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R79282 | AZ | |
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | 8634665-1205 | UT | Primary |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 347100 | LA |
Addresses
Primary practice location
1430 Tulane Ave # 8016
New Orleans, LA 70112-2632
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice location 1
3950 S Country Club Rd Ste 200
Tucson, AZ 85714-2227
Phone (520) 874-2778
Other practice location 2
1034 N 500 W
Provo, UT 84604-3380
Phone (801) 357-7850
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Bluemark LLC/ Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220712000249 | AZ | Order and Referring Only - Family Practice | 6002296720 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8634665-1205 | UT | MD | Hospice and Palliative Medicine (Emergency Medicine) Physician |
| 347100 | LA | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1720723349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 TULANE AVE # 8016",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122632",
"telephone_number": "504-988-9963",
"fax_number": "504-988-9963"
}
],
"practiceLocations": [
{
"address_1": "3950 S Country Club Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857142227",
"country_code": "US",
"telephone_number": "520-874-2778",
"fax_number": "520-874-4801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1034 N 500 W",
"address_purpose": "LOCATION",
"city": "Provo",
"state": "UT",
"postal_code": "846043380",
"country_code": "US",
"telephone_number": "801-357-7850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHERN",
"first_name": "NICHOLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-28",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "R79282",
"primary": false
},
{
"code": "207PH0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": "UT",
"license": "8634665-1205",
"primary": true
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "LA",
"license": "347100",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC/ Office Ally",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.