Naresh Kumar Ahuja, MD - Medicare General Surgery in Mount Vernon, IL

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Naresh Kumar Ahuja, MD is a medicare enrolled "Surgery" physician in Mount Vernon, Illinois. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Ahuja Bariatric And Beyond and his current practice location is 4230 Lincolnshire Dr Ste A, Mount Vernon, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 315-6466.

Naresh Kumar Ahuja is licensed to practice in Illinois (license number 036124910) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013174598.

Contact Information

Naresh Kumar Ahuja, MD
4230 Lincolnshire Dr Ste A,
Mount Vernon, IL 62864-2189
(618) 315-6466
(618) 315-6469

Map and Direction




Physician's Profile

Full NameNaresh Kumar Ahuja
GenderMale
SpecialityGeneral Surgery
Experience29 Years
Location4230 Lincolnshire Dr Ste A, Mount Vernon, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Naresh Kumar Ahuja graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1013174598
  • Provider Enumeration Date: 05/21/2008
  • Last Update Date: 10/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9830263870
  • Enrollment ID: I20100720000005

Medical Identifiers

Medical identifiers for Naresh Kumar Ahuja such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013174598NPI-NPPES
721089OtherILAETNA
3932056OtherILBCBS
036124910MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD434356 (Pennsylvania)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208600000XSurgery 036124910 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health - Good Samaritan HospitalMount vernon, ILHospital
Sarah Bush Lincoln Health CenterMattoon, ILHospital
Crossroads Community HospitalMount vernon, ILHospital
Southern Illinois Hospital Services Dba Herrin HospitalHerrin, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ahuja Bariatric And Beyond69012893475

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Naresh Kumar Ahuja allows following entities to bill medicare on his behalf.
Entity NameGood Samaritan Regional Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487758801
PECOS PAC ID: 1658272059
Enrollment ID: O20040119000325
Entity NameSt Marys Hospital Centralia Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770687196
PECOS PAC ID: 6709788920
Enrollment ID: O20040127000118
Entity NamePhysician Services Corporation Of Southern Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831101807
PECOS PAC ID: 9234022567
Enrollment ID: O20040304000583
Entity NameLawrence County Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1881643401
PECOS PAC ID: 7517144249
Enrollment ID: O20110607000309
Entity NameLawrence County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396024162
PECOS PAC ID: 7517144249
Enrollment ID: O20110815000691
Entity NameAhuja Bariatric & Beyond
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053043885
PECOS PAC ID: 6901289347
Enrollment ID: O20220817001520

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Naresh Kumar Ahuja is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Naresh Kumar Ahuja, MD
Po Box 675,
Mount Vernon, IL 62864-0014

Ph: (618) 315-6466		Naresh Kumar Ahuja, MD
4230 Lincolnshire Dr Ste A,
Mount Vernon, IL 62864-2189

Ph: (618) 315-6466

Reviews and Comments


Surgery Doctors in Mount Vernon, IL

Kevin B Claffey, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864
Phone: 618-242-8480    Fax: 618-242-8499
Mr. Steven J Clark, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864
Phone: 618-899-3980    Fax: 618-899-4793
Andrew Robert Johnson, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864
Phone: 618-242-8480    Fax: 618-242-8499
Kimberly Evonne Miller-hammond, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864
Phone: 770-617-5556    
Alan Scott Harad, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864
Phone: 618-242-8480    Fax: 618-242-8499
Charles W Longwell Jr., M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864
Phone: 618-242-8480    Fax: 618-242-8499

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.