Neha Ahuja, M.D.
Individual provider Active NPI Pediatric Gastroenterology Physician · Madera, CA
NPI 1750728358 · NPPES record last updated Sep 25, 2019
Key facts
- NPI
- 1750728358
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Gastroenterology Physician 2080P0206X
- License
- A161224 (CA)
- Practice address
- 9300 Valley Childrens PL
Madera, CA 93636-8761 - Phone
- (559) 353-3000
- NPI assigned
- May 23, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200128001815 | CA | Practitioner - Pediatric Medicine | 0941636641 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A161224 | CA | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Children'S Medical Group | Current |
Accepting new patients | |
| Alta Bates Summit Medical Center | Past | Accepting new patients | |
| Valley Children'S Hospital | Past | Accepting new patients |
Locations
300 S Leon S. Peters Blvd
Fowler, CA 93625
Phone (559) 834-1614
215 N Fresno St
Ste 370B
Fresno, CA 93701
9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700
9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700
1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880
Interoperability endpoints
- nahuja15894@valleychildrens-prd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | A161224 | CA | Yes |
Addresses
Primary practice location
9300 Valley Childrens PL
Madera, CA 93636-8761
Mailing address
9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Phone (559) 353-5700
Other providers in Madera, CA
- Mariaelisa Agredano
- Antoinette Marie Aguilar
- Miriam Aguilar
- Myraelen Aguilar
- Ahmed Elsayed Dental Corporation
- Sayeh Nina Akhavan
- Hengameh Akhtar
- Naeem M. Akhtar
- Nikita Akkala
- Bassel Al Horany
All providers in Madera, CA · Pediatric Gastroenterology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.