NARESH KUMAR AHUJA (MD) – Surgery Physician, NPI 1013174598
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
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Provider Addresses for NARESH KUMAR AHUJA (MD)
PO BOX 675
MOUNT VERNON, IL 628640014
Phone: (618) 315-6466
Fax: (618) 315-6469
Type: Mailing
317, South 14th Street, Herrin, Williamson County, Illinois, 62948, United States
HERRIN, IL 629483671
Phone: (618) 988-6171
Fax: (618) 988-6172
Type: Location
4230 LINCOLNSHIRE DR STE A
MOUNT VERNON, IL 628642189
Phone: (618) 315-6466
Fax: (618) 315-6469
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $908.
Total Amount is formed as General ($908) + Research ($0) + Ownership ($0) = $908.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Medtronic, Inc. ($701).
Total Amount
$908
General + Research + Ownership
Payments
19
Total payment records
General Amount
$908
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-07-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100720000005 | I | General Surgery | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 53 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 71 | 49 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 64 | 64 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 49 | 41 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 29 | 28 | $0 |
Insurance plans in this area (ZIP 62864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Physician Assistant | MO | |
| Endocrinology, Internal Medicine | IL | |
| Psychiatry, Geriatric Psychiatry | CA |
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