Sanjeev Ahuja, MD
Individual provider Active NPI Family Medicine Physician · Alden, NY
NPI 1770762015 · NPPES record last updated Mar 29, 2012
Key facts
- NPI
- 1770762015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 199847 (NY)
- Practice address
- 12845 Broadway
Alden, NY 14004-1223 - Phone
- (716) 937-3255
- Fax
- (716) 204-7481
- NPI assigned
- Nov 2, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wny Medical PC
Practice addresses (Care Compare)
4979 Harlem Rd
Amherst, NY 14226-2547
Phone (716) 923-4380
Hospital & facility affiliations
- Sisters of Charity Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20060117000890 | NY | Practitioner - Family Practice | 9830113802 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 199847 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wny Medical PC | Family Medicine | Current |
Accepting new patients |
Locations
15 Northland Ave
Buffalo, NY 14208
Phone (585) 797-5828
4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380
3884 Broadway St
Cheektowaga, NY 14227
Phone (716) 681-9000
2600 S Park Ave
Lackawanna, NY 14218
Phone (716) 822-2028
Interoperability endpoints
- sahuja@wnymedical.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 199847 | NY | Yes |
| Emergency Medicine Physician | 207P00000X | 199847 | NY |
Addresses
Primary practice location
12845 Broadway
Alden, NY 14004-1223
Mailing address
12845 Broadway
Alden, NY 14004-1223
Phone (716) 937-3255
Other providers in Alden, NY
- Alden Central School District
- Alden Counseling & Wellness, LLC
- Alden Dental PLLC
- Alden Family Dentistry
- Alden Medical Group, PLLC
All providers in Alden, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2012. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.