NPIMap

Individual provider Active NPI

Nilesh Harish Ahuja, MD

  • Nephrology Physician
  • Fort Collins, CO
National Provider Identifier
1750437331
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DR-48062 Issued in CO
Practice address
3351 Eastbrook Dr Ste 100
Fort Collins, CO 80525-5744
Phone
(970) 493-7733
Fax
(970) 493-8745
NPI assigned
Jan 26, 2007
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X DR-48062 CO Primary

Addresses

Primary practice location

3351 Eastbrook Dr Ste 100
Fort Collins, CO 80525-5744

Mailing address

3351 Eastbrook Dr Ste 100
Fort Collins, CO 80525-5744
Phone (970) 493-7733

Other identifiers 2

IdentifierTypeStateIssuer
020634OtherCOKAISER COMMERCIAL NUMBER
97488755MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610000209 CO Practitioner - Internal MedicinePractitioner - Nephrology 9537299052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
State University of New York at Buffalo School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Clinic PCGroup PAC ID 7315914405, 18 clinicians

Practice addresses (Care Compare)

3351 Eastbrook Dr
Suite 100
Fort Collins, CO 80525-5744
Phone (970) 493-7733

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR-48062COMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Clinic PC Nephrology CurrentSince Aug 1, 2012 Accepting new patients
Fort Collins Skin Clinic, P.C. Past Accepting new patients

Locations

1600 Specht Point Rd
Ste 127
Fort Collins, CO 80525
Phone (970) 591-9559

3351 Eastbrook Dr
Ste 100
Fort Collins, CO 80525

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

8229 W 20th St
Greeley, CO 80634

2988 Ginnala Dr
Loveland, CO 80538
Phone (970) 633-0815

620 Iris Dr
Sterling, CO 80751
Phone (970) 313-2740

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1750437331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 EASTBROOK DR STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255744",
            "telephone_number": "970-493-7733",
            "fax_number": "970-493-8745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 EASTBROOK DR STE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255744",
            "telephone_number": "970-493-7733",
            "fax_number": "970-493-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHUJA",
        "first_name": "NILESH",
        "middle_name": "HARISH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "DR-48062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "020634",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97488755",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.